4.8. SR 11-16-2020 - Laserfiche WebLink

Home Browse Search

Mobile Phone Justification and Policy Acknowledgement Form Employee Name: Title: Department: Request Type:  City-issued mobile phone *  City reimbursed personal mobile phone ** Rate  $15.00 per month  $30.00 per month Mobile 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, residents, 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 communications with residents, outside agencies cooperating in operations, or other resource entities outside of city government.  Other – Employee is required to be accessible at all times by electronic means. If this is checked please provide a brief explanation: ______________________________________________________________________________ ______________________________________________________________________________ Employee Acknowledgement I certify that I have read, understood, and will comply with the Mobile Phone Policy. Signature:____________________ Date:______________________________ Department Director Acknowledgement I certify the requested mobile phone is required and I have read, understood and, will comply with the Mobile Phone Policy. I understand the expense will be charged to my departmental account. Signature: __________________________Date:____________________________ City Administrator Acknowledgement In compliance with the Mobile Phone Policy issuance of this mobile device is approved: Signature: __________________________Date: _____________________________ * Route to IT Division ** Route to Finance Department 5