DJJ Form AD-IS1205.50-2 "Network User Account Deletion Form" - Florida

What Is DJJ Form AD-IS1205.50-2?

This is a legal form that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2017;
  • The latest edition provided by the Florida Department of Juvenile Justice;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DJJ Form AD-IS1205.50-2 by clicking the link below or browse more documents and templates provided by the Florida Department of Juvenile Justice.

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Download DJJ Form AD-IS1205.50-2 "Network User Account Deletion Form" - Florida

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AD-IS 1205.50-2
State of Florida
Revised 06/2017
Department of Juvenile Justice
NETWORK USER ACCOUNT DELETION FORM
To Be Completed by Authorizing Supervisor: (Please PRINT Legibly and Complete Sections 1 - 4)
1. USER INFORMATION:
Last Name:
First Name:
Middle Initial:
User’s Work Location:
Region (i.e. HQ, North, Central, South):
Circuit:
Title:
Section/Unit/Department:
2. AUTHORIZING SUPERVISOR INFORMATION:
Supervisor’s Name:
Title:
Area Code & Phone:
3. TERMINATION INFORMATION:
The above user’s account will be disabled immediately upon Supervisor’s notification of termination. The
account will remain disabled for 30 days (from the Date of Termination as indicated below) at which time,
Bureau of Information Technology staff will permanently delete the account unless otherwise indicated.
Date of Termination: (Month, Day, Year)
Should IT transfer any of the above user’s files?
NO
If “YES” indicate the name, county and
YES
phone number of the person receiving the files in the space(s) below.
(e.g. Jane Doe, Clay Co, 904-876-5309)
Hard drive (C: Drive) files should be transferred to:
Userdata (K: Drive) files should be transferred to:
E-mail and archive messages should be transferred to:
(e.g. Joe Doe, Brandon Co, 813-777-9311)
Additional Instructions for Information Technology personnel:
4. AUTHORIZING SUPERVISOR’S SIGNATURE: (Submit Completed Forms to Designated Bureau of
Information Technology Personnel)
Signature:
Date:
To Be Completed by Information Technology Personnel: (Please PRINT and Complete All Blocks in Section 5)
5.
BUREAU OF INFORMATION TECHNOLOGY USE ONLY:
Last Name:
First Name:
Disable Date:
Delete Date:
Were files transferred & additional Instructions
followed as indicated above?
YES
NO
If “NO” please provide explanation.
N/A
Explanation:
Signature:
Date:
After Deleting the Account, Bureau of Information Technology Personnel will submit completed forms to the
Information Security Manager.
Reset/Clear Form
Print Form
Save As
AD-IS 1205.50-2
State of Florida
Revised 06/2017
Department of Juvenile Justice
NETWORK USER ACCOUNT DELETION FORM
To Be Completed by Authorizing Supervisor: (Please PRINT Legibly and Complete Sections 1 - 4)
1. USER INFORMATION:
Last Name:
First Name:
Middle Initial:
User’s Work Location:
Region (i.e. HQ, North, Central, South):
Circuit:
Title:
Section/Unit/Department:
2. AUTHORIZING SUPERVISOR INFORMATION:
Supervisor’s Name:
Title:
Area Code & Phone:
3. TERMINATION INFORMATION:
The above user’s account will be disabled immediately upon Supervisor’s notification of termination. The
account will remain disabled for 30 days (from the Date of Termination as indicated below) at which time,
Bureau of Information Technology staff will permanently delete the account unless otherwise indicated.
Date of Termination: (Month, Day, Year)
Should IT transfer any of the above user’s files?
NO
If “YES” indicate the name, county and
YES
phone number of the person receiving the files in the space(s) below.
(e.g. Jane Doe, Clay Co, 904-876-5309)
Hard drive (C: Drive) files should be transferred to:
Userdata (K: Drive) files should be transferred to:
E-mail and archive messages should be transferred to:
(e.g. Joe Doe, Brandon Co, 813-777-9311)
Additional Instructions for Information Technology personnel:
4. AUTHORIZING SUPERVISOR’S SIGNATURE: (Submit Completed Forms to Designated Bureau of
Information Technology Personnel)
Signature:
Date:
To Be Completed by Information Technology Personnel: (Please PRINT and Complete All Blocks in Section 5)
5.
BUREAU OF INFORMATION TECHNOLOGY USE ONLY:
Last Name:
First Name:
Disable Date:
Delete Date:
Were files transferred & additional Instructions
followed as indicated above?
YES
NO
If “NO” please provide explanation.
N/A
Explanation:
Signature:
Date:
After Deleting the Account, Bureau of Information Technology Personnel will submit completed forms to the
Information Security Manager.
Reset/Clear Form
Print Form
Save As