Move forward faster.

Remove a user.

Use this form to request a user removed from your online account.

A member of our Implementation will begin processing the request and notify you via email once complete. Please allow 1-2 business days for your change to be processed.

"*" indicates required fields

Step 1 of 2 - Company Details

Account Name*

Please list the current name of the account that needs to be updated.

System*

Please indicate which of our online systems this user should be removed from. Select all that apply.

teamdrugresults.com

teambackground.bgsecured.com

Effective Date

(Optional) If this update is time-sensitive, please indicate when it should go into effect. As noted above, please allow a minimum of 1-2 business days for your change to be processed.

Requestor Details

Please enter your personal information so our TEAM can verify that you have adequate permissions to request changes to the account.

Requestor Name*

Requestor Phone*

Requestor Email*

Provide a valid email address our TEAM can use to notify you once the requested update(s) are complete.

User Details

User Name*

Please provide the user's current name and email so our TEAM can identify them in the system.

User Email*

Reason for Removal*

Give a short explanation for why the user needs to be removed (e.g. No longer with the company).

NOTE: All accounts must have at least one user designated as the Primary Contact (DER). If the user you are removing is the current Primary Contact (DER) for the account, after submitting this form, please utilize one of our other forms to indicate their replacement.

Comments

Additional Comments

(Optional) Use this space to provide any additional comments or details that you'd like to share with our TEAM.