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<br /> <br />Department Head Acknowledgement <br /> <br />I certify that the requested mobile phone is needed for this employee and I have read <br /> <br />understood and intend to comply with the Mobile Phone Policy. I understand the <br /> <br />expense will be charged to the departmental account. <br /> <br />Signature: __________________________Date:____________________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />City Administrator Acknowledgement <br /> <br />In compliance with the Mobile Phone Policy issuance of this mobile device is approved: <br /> <br /> <br /> <br />Signature: ________________________ Date: _____________________________ <br /> <br /> <br /> <br /> <br /> <br />* A copy of completed form needs to be routed to Finance Department <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />7 <br />