electronic storage media device / law enforcement / mobile computing device / /
Organization
office of Education Services / DHHS office of Education Services / Internal Revenue Service / /
Position
Supervisor / contractor / supervisor /manager of this fact Best / Information Security Official and supervisor/manager / Supervisor /Manager Signature / Information Security Official / Supervisor /manager signs / Manager Only / supervisor /manager Comply / designated Information Security Official and supervisor / supervisor /manager / /
OES Device Check Out Form This is a DHHS Office of Education Services (DHHS OES) state purchased device (mobile computing device or electronic storage media device) and may be accessed and used only for official governme