Retiree – CTS Services Exit Questionnaire

First Name (required)

Last Name (required)

Your Potsdam Email - CCA (required)

Last Day (required)

Bargaining Unit (required)

Keep Account, Remove Account, or Forward Email (required)

SUNY Potsdam Online Directory (required)

If you'd like to have your email forwarded for a short period of time please fill out the following
Forward email to which account? (required)
For how many weeks? (required)

Home Address (if desired):

Non-Potsdam Email Address (if desired):

Telephone Number (if desired):

Please click "Submit Request" and CTS will be notified of your request. Thank you.