4.8. SR 11-16-2020 - Laserfiche WebLink

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Mobile Phone Justification and Policy Acknowledgement Form Employee Name: Department: Title: Request Type:  City-issued feature phone  City-issued smartphone  Employee-owned City reimbursed feature phone *  Employee-owned City reimbursed smartphone * Feature Phone Justification (Please select all that apply)  Travel – Employee frequently travels, works in the field, or is out of the office and needs to be in contact with staff, citizens, or other city business associates. (Please provide an example that demonstrates a necessity or efficiency that justifies the expense.) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _____________________________________________  Emergency Response – Employee is in a public safety position, and has occasions whereby it is necessary to provide immediate and direct telephone communications with citizens, outside agencies cooperating in operations, or other resource entities outside of city government.  Other – Employee is required by their department to be accessible at all times by electronic means. If this is checked please provide a brief explanation: ______________________________________________________________________________ __________________________________________________________________ Smartphone Justification (Please provide a brief explanation and example) ____________________________________________________________________________________ _____________________________________________________ Employee Acknowledgement I certify that I have read, understood, and intend to comply with the Mobile Phone Policy. Signature:____________________ Date:______________________________ 6