Internet Access Request and AgreementInternet Access Request and Agreement • March 7th, 2016
Contract Type FiledMarch 7th, 2016DSHS Administrative Policy 15.15, Use of Electronic Messaging Systems and the Internet, requires that this form be completed and signed by the requestor and his or her manager to obtain and use Internet Services provided by DSHS. This form also addresses DSHS Administrative Policy 15.24 Social Media usage. The requestor’s unit will retain a copy of the completed form for three years past the employee’s termination date. PRINT REQUESTOR’S NAME EMPLOYEE’S PERSONNEL ID NUMBERN/A (intern) PRINT SUPERVISOR’S NAMESteve Williams PharmD PRINT ORGANIZATIONRainier School List of Prohibited Activities Relating to Internet Use Internet access and services are provided for official DSHS business activities except occasional but limited use, as defined in Administrative Policy 15.15. Prohibited activities include, but are not limited to (ask your supervision/support person to explain any items you do not understand):1. Accessing the Internet for personal business or personal interest use that includ