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2. 
3. City Cellphone Form
   *To be filled out yearly by the employee's supervisor
5. Employee First Name:*
6. Employee Last Name:*
8. Employee Title:*
9. Division:*
   -- Select One --AdministrationArts, Culture & Special EventsNatural ResourcesPark ServicesRecreation Services
11. Does employee currently have a City cellphone?*

    1. Yes
    2. No
12. Employee City cellphone Number:
    (Format: XXX-XXX-XXXX)
16. The City may require designated employees to utilize a City-owned Device or use a personal Device that is compatible with the City’s network and e-mail system.
    *Convenience alone is not a criterion for requiring an employee to utilize a Device for City business purposes.
18. Please select all that apply:

    1. 1) Involves frequent travel or will routinely take the employee into the field to conduct business and the employee will have a need to remain in communication with others for City business purposes
    2. 2) Presents a need for constant and immediate communications throughout the day if the position requires the employee to be away from the office or their desk frequently
    3. 3) Presents a need after City business hours for an employee who significantly supports or is responsible for City programs, services, or systems
    4. 4) Requires an employee to be available for emergency or business-related contact on a 24/7 basis
    5. 5) Offers no other practical alternatives for cost-effective and timely communications using landlines or other communications methods
    6. 6) Other
20. Please describe your employee's need for a City cellphone based on the selections above: *
22. *Please note:
    If employee requires a City cellphone, they must utilize Single Number Reach capabilities.
24. Supervisor's Name:*
25. Today's Date:*
    Today's Date:
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field