Clear Konica/Spear Key Cards for Employees Leaving Your School

To be completed by school or department secretary.

Do not complete this form until the people listed in step 1 no longer need these resources.


After completing the top part of the form with your information, enter the username(s) of up to ten employee(s) who have left your building. Once submitted, District Technology Services will remove their copier access.


    Name*

    SVVSD Username*
    (Do NOT enter full email address)
    @svvsd.org

    SVVSD Campus*

    Phone Extension*


    Enter Username of Former Employee

    1.

    2.

    3.

    4.

    5.

    6.

    7.

    8.

    9.

    10.

    Notes:

    Do not complete this form until the people listed in step 1 no longer need these resources.