Information Technology Policy Manual 2022

One Connect Policy Exception Request Form

Name: Lawson No:

Department / Division:

Position Title: Justification for exception (must be documented in terms of job duties):

Please mark ALL the devices requested to have cellular service and the cellular service provider of those devices:

City-Issued Cell Phone with Hot Spot Provider of Cellular Service: _____________________________

City-Issued iPad with Cellular Service Provider of Cellular Service: _____________________________

City-Issued Android Tablet with Cellular Service Provider of Cellular Service: _____________________________

City-Issued Windows Tablet with Cellular Service Provider of Cellular Service: _____________________________

City-Issued Laptop with Cellular Service Provider of Cellular Service: _____________________________

City-Issued Toughbook with Cellular Service Provider of Cellular Service: _____________________________

City-Issued Other Device with Cellular Service Provider of Cellular Service: _____________________________

APPROVALS for Exception

____________________________________ Department Head Signature

Date ____________________________________ CIO Signature

Date

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