Mobile Device Usage Compliance Form
Employee Information
Name
Department
Position
Device Details
Device Type
Smartphone
Tablet
Laptop
Other
Device Make/Model
Serial Number
Compliance Checklist
I have reviewed and understood the organization’s mobile device usage policy.
Security features (PIN, password, biometrics) are enabled on my device.
Data encryption is enabled.
Device auto-lock is activated.
Operating system and applications are kept up-to-date.
Comments
Acknowledgement
I certify that the information provided above is accurate, and I agree to follow all mobile device policies of the organization.
Employee Signature
Date
Manager Approval (if required)
Date