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~~/ <br />cr' <br />Elk "^--"` Mobile Phone Justification and Policy Acknowledgement Form <br />Rimier <br />Employee Name: <br />Department: <br />Request Type: <br />^ City-issued cell phone <br />^ City-issued smartphone <br />^ Employee-owned City reimbursed cell phone <br />^ Employee-owned City reimbursed smartphone <br />Cell Phone Justification (Please select all that apply) <br />^ Travel -Employee frequently travels, works in the field, ur is out of the office andyneeds to <br />be in contact with staff, citizens, or other cih bu~iuess associates. <br />^ Emergency Response -Employee is in a public safety position, and has occasions whereby it <br />is necessary to provide immediate and direct telephone c~ nnmunications with citizens, <br />outside agencies cooperating in operations, or other re~ourcc entities outside of city <br />government. <br />^ Other -Employee is required by their department t~ ~ be accessible at all times by electronic <br />means. If this is checked please provide a brief explanation: <br />Smartphone Justification (I'leasc provide a brief explanation) <br />Employee Acknowledgement <br />I certify that I have read, understood, and intend to comply with the Mobile Phone <br />Policy. <br />Signature: Date: <br />