IT Policies Manual FY 2024-2025

Docusign Envelope ID: CE02E790-7159-459B-9F50-C807BADBC958

Cell Phone/Phone Stipend Request Form

Name: Lawson No: Position: Acct Number: Justification:

Department:

Requested: •

City-issued Cell Phone Cancel City Number

•

Personal Number for Stipend

•

Stop stipend payment Cell Phone Stipend

•

•

Phone and Data ($45.00 per month) Phone Only ($25.00 per month)

•

•

**Before the Stipend can be approved or submitted to payroll you must return all ancillary equipment (EX: cables, chargers, case) to the Information Technology (IT) department Telecomm Services division only! **

I certify that I have received a copy of and understand the City of Greensboro Cell Phone Policy.

Employee Signature Date

Department Head Signature Date

DO NOT SUBMIT THIS FORM TO PAYROLL OR FINANCE. THE TELECOMMUNICATIONS DIVISION OF THE IT DEPARTMENT WILL FORWARD THIS REQUEST WHEN NECESSARY.

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