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2. Campbell County Information Technology Acceptable Use Policy and Agreement

   Employees accessing the Campbell County Information Technology network and platforms for email, internet, and any form of work-related communication or online activity must read and the attached user policies and agreements (use links provided below) and indicate below their  acknowledgement and acceptance of these rules and regulations.

   These policies are required to ensure safe and effective use of our network systems, mitigate any illegal activities or abuse of the County's electronic and online platforms, and protect staff and County resources from cyber attacks. 

   While issues are not expected it should be noted that failure to comply with the Information Technology policies enclosed can result in removal of online access privileges. Any acts undertaken that are prohibited in the user agreement may result in disciplinary action, up to and including termination. 

   Please read the attached (links provided) 2025 Campbell County Information  Technology Acceptable Use Policy, Remote Access Policy, and Password Construction Guidelines and indicate your review of the document, your understanding of it, and your commitment to comply with its rules and regulations.  Please submit this acknowledgment form by February 28, 2025. 

   Thank you.

   Your Information Technology Team 

   
   

4. I confirmed I have opened the provided links and read the documents enclosed. *

   1. Yes - I have opened the provided links and accessed/read the enclosed materials
   2. No - I could not open the links and need a hard copy of the materials enclosed.

   Please access these links to read the:

   1. Acceptable Use Policy
   2. Remote Access Policy
   3. Password Construction Guidelines.  

   
   

6. First Name*
7. Last Name*
9. Department You Work For*
   -- Select One --County AdministrationInformation TechnologyManagement Services Public and Employee RelationsYouth Services Economic DevelopmentCommunity DevelopmentReal EstateTreasurer Commissioner of the RevenueLibrary/CEQLRecreationPublic Works Public SafetySocial ServicesSheriff's OfficeCommonwealth Attorney's OfficeCourts/Court ServicesRegistrarExtension ServicesBoard of SupervisorsContracted ServicesVolunteerOther
11. Office/Off-site Phone Number
13. Email Address
15. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) you have read the Campbell County Information Technology Acceptable Use Policy; 2) you understand the Campbell County Information Technology Acceptable Use Policy; 3) you agree to adhere to the Campbell County Information Technology Acceptable Use Policy; and 4) you acknowledge that any infraction of the IT Acceptable Use Policy may result in disciplinary action, including termination. 

     By signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature. 

    1. I agree.
17. Electronic Signature*
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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