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