eCW St. Joe Inactivation

eCW St. Joe Inactivation Request Form

Info

First	Last Name
If Jelly Beans are less than 20 (see note below*) -->	Assign to:
eRX were assigned -->	Assign to:

Requestor Name Phone: Extension:
Email: <- Required field fill-in

* Note: If this user has more than 20- outstanding JB's, we will reset the user's password and you may log into the user's account and re-assign them within 7- business days. At the end of the 7th business day we will inactivate the user's account.

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