# How to Leave — practice evidence sheet

Use fictional account aliases only.

- Customer goal:
- Service / plan:
- Receipt or dossier ID:
- Biller / purchase channel:
- Account alias:
- Region and applicable terms:
- Payment frequency:
- Commitment:
- Next relevant date:
- Official source and checked date:
- Proposed action:
- Request time:
- Result (completed / pending / failed / unknown):
- Confirmation evidence:
- Renewal state:
- Access-end date:
- Unresolved question:
- Follow-up action and date:

An attempted request is not proof of completion.