Employee Departure

Enter your Company Access Code or Email Address, then submit the request.

Company Login

Enter your Company Access Code or Email Address. This validates your company automatically.

Company Access Code or Email Address

Enter your Company Access Code or Email Address to continue.
Contact BCA if unsure (509) 535-5571.

Selected Company

Company ID:

Required fields are marked with *

Requestor

Your Complete Name *

Your Email Address *

Departing Employee

Employee's Full Name *

Termination Date *

Access Revocation

Revoke email access? *

Yes No

(Optional) If relevant, list any distribution lists this user must be removed from.

Revoke server access? *

Yes No

Revoke computer access? *

Yes No

Wipe the computer data? *

Yes No

Please list any specific folders this user must be removed from Please list any specific drives this user must be removed from

Revoke telephone access?

Yes No NA

Does the departing user need their phone forwarded to someone else?

Yes No

Phone forwarding notes (who/where should it forward?)

Does the departing user need their emails forwarded to someone else?

Yes No

Forward email to:

© 2026 BCA. All rights reserved. BCA

BCA