Information Technology Policy Manual 2022
CITY CELL PHONE & PHONE STIPEND REQUEST Name: Employee #: Department: Position # & Title: Justification:
Request Date: 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)
**If you are moving from a City Cell Phone to a Stipend, you must return all ancillary equipment (EX: cables, chargers, case to Telecomm Services) Before the Stipend can be approved or submitted to payroll) I certify that I have received a copy of and understand the City of Greensboro Cell Phone Policy. Acct Number:
X Employee Signature
X Department Head Signature
Information Technology Telecom Office
Finance Office
Date Recorded: Click or tap to enter a date.
Date Entered in Payroll: Click or tap to enter a date.
Recorded By: ________________________
Recorded By: __________________________
| Cell Phone Policy
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