Fillable Printable Printable Acknowledgement of Receipt

Printable Acknowledgement of Receipt

WISCONSI N DEPA RT ME NT OF ADMINIST RATION

DIVISION OF ENTERPRISE TECHNOLOGY

DOA-5800 (R02/2009)

DOA/DET VOICE SERVICES

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 Administration's policy covering Wireless Handheld

Voice and Data Services and Equipment. I also understand that I am responsible for reviewing the policy and

complying with all of its provisio ns .

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.