Fillable Printable Acknowledgement of Receipt of Enterprise Wireless Service Policy - Wisconsin

Acknowledgement of Receipt of Enterprise Wireless Service Policy - Wisconsin

WIS CO NSI N DEPARTMENT OF ADMINISTRAT IO N

DIVISION OF ENTERPRISE TECHNOLOGY

DOA-5800 (R02/2009)

DOA/D ET VOICE SER VICES

101 E. WILSON ST., 8

FLOOR

MADISON, WI 53702

Acknowledgement of Receipt of Enterprise Wireless Services Policy

I acknowledge that I have received the Department of Administ r ation's policy cover ing Wireless Handheld

Voice and Data Services and Eq uipm ent. I also underst and that I am res ponsible for reviewing the policy and

complying with all of its pro vision s .

Employee Name (Please Print)

Employee Signature

Date

State Agency or University Employer

Supervisor - Retain this form for the duration of the employee’s use of Wireless Services and any additional time

determined by the agency or university records retention schedule.