Computer and Internet Usage Monitoring Consent Form
Review the monitoring information and record your consent.
Full Name
*
First Name
Last Name
Work Email
*
example@example.com
Team or Department
*
Please Select
Engineering
Customer Support
Sales
Operations
Other
Device Type
*
Company computer
Personal computer used for work
Other work device
Device Name or Work Asset Label
*
Monitoring Scope
*
Computer activity, including application and system usage
Internet usage, including websites accessed through work systems
Usage timestamps and activity logs related to work systems
Monitoring Notice
Signature
*
Date of Consent
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Consent
Submit Consent
Should be Empty: