User Removal Request Form
Complete this form to remove user access to your bank account with Wells Fargo and/or to the State Deposit System. This request will be sent to the State of Wyoming Treasurer's Office and you will be notified when your user has been removed. This request must be made by a supervisor.
Email address *
Agency *
Supervisor Name *
Your answer
Supervisor Email Address *
Your answer
User to be Removed Name (First and Last) *
Your answer
User to be Removed Email Address *
Your answer
Removal Requested (you can select both if needed) *
Effective Date *
Your answer
Reason for Removal *
Your answer
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