Overview of the Process

Requesting a Retirement/Resignation/Termination Change of Status from the LCSO Org Chart

Complete the required fields and submit the form.

This form should be completed by HR only.




After this form is submitted:

  1. Approval will be requested of the selected approvers.
  2. Notification email will be sent to [email protected] and [email protected] distribution groups.
  3. Active Directory changes will be queued to take place on the stated effective date.