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.
* Required
Email address
*
Your email
Agency
*
Choose
001 GOVERNOR
002 SEC OF STATE
003 AUDITOR
004 FINANCE
004 UNCLAIMED PROPERTY
005 Public Instruct.
006 A&I
007 ADJ GENERAL
008 PUBLIC DEFENDER
009 PIPELINE
010 AGRICULTURE
011 REVENUE
012 ARCHITECT
013 ANIMAL
014 MINERS
015 ATTY GENERAL
016 BARBER
017 RADIOLOGY
018 REAL ESTATE
019 TEACHERS
020 DEQ
021 DEPT OF AUDIT
022 RESPIRATORY
023 PUBLIC SERVICE
024 ST PARKS
025 EMPLOYMENT
026 WORK FORCE
027 SCHOOL COMM
028 PODIATRY
029 WATER DEV
030 CHIRO
031 COLLECTION
033 COSMETOLOGY
034 DENTAL
035 EMBALMER
036 MIDWIFERY
037 ENGINEER
038 PARI-MUTUEL
039 WILDLIFE COMM
040 G&F
041 FIRE
042 GEOL SURV
043 DIETETICS
044 INSURANCE
045 WYDOT
046 MARTIAL ARTS
047 WCCC
048 HEALTH
049 FAMILY SERVICES
051 LIVESTOCK
052 MEDICINE
053 WORKFORCE
054 NURSING
055 OIL & GAS
056-Optometry Board
057-Wyoming Community College Commission
058-Speech Pathology & Audiology
059-Pharmacy Board
060-Office of State Lands & Investments
061-Board of CPA
062-Physical Therapy Board
063-Governor's Residence
064-Hearing Aid Specialists Board
065-Athletic Training-State Board
066-Wyoming Office of Tourism
067-University of Wyoming
068-Board of Psychology
069-WHICHE
070-Enhanced Oil Recovery Commission
072-Wyoming Retirement
075-Board of Outfitters
077-Wyoming Department of Enterprise Technology Services
078-Mental Health Professions Licensing Board
079-Board of Nursing Home Administration
080-Department of Corrections
081-Board of Parole
083-Board of Occupational Therapy
084-Board of Geologists
085-Wyoming Business Council
087-Conservation Camp
088-Women's Center
089-Wyoming Honor Farm
097-Wyoming Veterans Home
099-Wyoming State Penitentiary
101-Supreme Court
102-Board of Law Examiners
103-Commision of Judicial Conduct & Ethics
120-Judicial District 1A
121-Judicial District 1B
122-Judicial District 2A
123-Judicial District 2B
124-Judicial District 3B
125-Judicial District 3A
126-Judicial District 4
127-Judicial District 5A
128-Judicial District 5B
129-Judicial District 6A
130-Judicial District 7A
131-Judicial District 7B
132-Judicial District 9A
133-Judicial District 8A
134-Judicial District 9B
135-Judicial District 6B
136-Judicial District 8B
137-Judicial District 1C
138-Judicial District 3C
139-Judicial District 7C
140-Judicial District 6C
141-Judicial District 9C
142-Judicial District 4B
151-District Attorney-Laramie County
157-District Attorney-Natrona County
160-County-Prosecuting Attorneys
167-UW - Medical Education
201-Legislative Service Office
205-Department of Education
206-Department of Education
211-Board of Equalization
220-Environmental Quality Council
245-State Radio Network
251-Veterinary Board
252-Acupuncture Board
267-Uw Part II
270-Office of Adminstrative Hearing
367-Higher Education Compute Net
467-UW - Office of Development
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)
*
Wells Fargo
State Deposit System
Other:
Required
Effective Date
*
Your answer
Reason for Removal
*
Your answer
Send me a copy of my responses.
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