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Appendix A

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To: Division Head

Re: Employee Agreement Concerning the Use of Electronic Communications Equipment Resources

I hereby certify that I am the recipient of the following AOC/AOP-provided electronic communications equipment and/or services (check appropriate box):

____ Equipment - I agree that this equipment is to be used primarily for official AOC/AOP business, and that any personal use of the equipment will be kept to a minimum. I agree to reimburse my division for any personal use of this equipment that results in additional costs to the AOC/AOP and will exercise appropriate care and caution when using the equipment, in accordance with the policy and procedures set forth in AOC/AOP Electronic Communication Equipment Policy, In addition, I understand that all records related to the purchase, use, and disposition of this AOC/AOP-owned equipment, including cell phone statements, are the property of the AOC/AOP and potentially subject to disclosure under the Nebraska Public Records Act.

I further understand that I am responsible for safeguarding the equipment, including any data on the equipment, and controlling its use in accordance with the AOC/AOP Electronic Communication Equipment Policy. If the AOC/AOP determines that there is no longer a business need for me to possess such equipment, I will return the equipment. Likewise, if I separate from AOC/AOP employment, I will promptly return the equipment to my division.

Any employee whose electronic communications equipment is mislaid or stolen should immediately report the loss or theft of such equipment to his or her division, to the AOC Information Technology division, to the service carrier if applicable, and to the Office of the CIO. If it is determined the loss or damage to the equipment was caused by negligence by the employee, the cost to replace or repair the item may be passed on to the employee. 

Device 1______________________________Device 2_______________________________

Device 3______________________________Device 4_______________________________

Device 5______________________________Device 6_______________________________

_____ Services - I agree that this service is to be used primarily for official AOC/AOP business, and that any personal use of the service will be incidental in nature. I agree to reimburse my division for any personal use of this service that results in additional costs to the AOC/AOP, in accordance with the policy and procedures set forth in AOC /AOP Electronic Communication Equipment Policy. In addition, I understand that all records related to the purchase and use of this AOC/AOP-provided service, are the property of the AOC/AOP and potentially subject to disclosure under the Nebraska Public Records Act.

I further understand that if the AOC/AOP determines there is no longer a significant business need for me to utilize this service, the AOC/AOP will discontinue its funding of the service. Likewise, if I separate from AOC/AOP employment, the service will no longer be paid for or reimbursed by the AOC/AOP.

Name: _________________________________  Title: ___________________

Signature: _______________________________    Date:     ________________

This page was last modified on Friday, January 24, 2014