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Internet/E-mail Authorization Request and Approval

Steps

  1. 1. Request Section (to be completed and signed by Department Head)
  2. 2. Approval Section (to be signed by County Manager or designee)
  3. 3. Setup Section (to be completed by Information Technology)
  • Request Section (to be completed and signed by Department Head)

    1. Request is for a:

    2. New Hire:

    3. Individual has read and agrees to adhere to County Policy concerning the use of electronic facilities requested.*

    4. A signed Electronic Technology Policy must accompany this request or be on file in Human Resources.

    5. Request for:

    6. Department Head Signature: