Information Technology Policy Manual FY22-23

One Connect Policy Exception Request Form

Name: Employee No: Position Title: Justification for exception

Department/ Division:

(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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