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Department Head Acknowledgement <br />I certify that the requested mobile phone is needed for this employee and I have read <br />understood and intend to comply with the Mobile Phone Policy. I understand the <br />expense will be charged to the departmental account. <br />Signature: <br />City Administrator Acknowledgement <br />In compliance with the Mobile Phone Policy issuance of this mobile device is approved: <br />Signature• Date• <br />* A copy of completed form needs to be routed to Finance Department <br />