Session Timeout Policy Acknowledgement
Please review the session timeout policy and acknowledge your understanding and compliance below.
Full Name
*
First Name
Last Name
Job Title
*
Department
*
Please Select
IT
HR
Finance
Operations
Sales
Other
Work Email Address
*
example@example.com
Manager/Supervisor Name
Type of System Access
*
Desktop
Laptop
Mobile Device
Remote Access
Other
Have you read and understood the Session Timeout Policy?
*
Yes, I have read and understood the policy.
No, I need further clarification.
If you answered 'No', please specify your questions or concerns.
Date of Acknowledgement
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Comments (optional)
Signature
*
Acknowledge
Acknowledge
Should be Empty: