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| Mountain-Prairie Region |
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| Mountain-Prairie Region |
I am signing this Statement of Responsibility form to obtain a new account or to become a web author to an existing account on the Internet Server for the Mountain-Prairie Region. I understand that a Statement of Responsibility form needs to be completed by each individual who will be authorized to change what the public sees on the Internet.
I request an account on the Internet for Web pages that will be seen by people outside the Service. I understand that the information I publish on the Internet will be viewed by the public as official statements made by the Service. I understand that all internet Web Publishing must follow the rules found in the Service's Web Standards Handbook.
Therefore, I understand that the information I publish on the Internet must reflect Service policy, including guidance in the External Relations and Outreach chapters of the Service Manual. The content on my sites will be updated so it stays accurate and consistent with other Service information (especially other Service Web pages).
I understand that when I use the Internet server, such use or access shall be limited to official Government business. Further, I understand that any use of the system or information that is not official Government business may result in disciplinary action consistent with the nature and scope of such activity. I will manage my password so it is secure, and will notify the System Manager in the event of a change in government service.
I am a (check only one):
| __________ | Federal Employee |
| __________ | Contractor Employee |
| __________ | Other, Non-Federal Employee |
If you are a contractor or volunteer, or not a full-time Fish and Wildlife
Service employee, identify your relationship with the Service office for which
you will be managing an account. Also, estimate how long you will be working
with this account, and identify who in the Service will be responsible for it
when you leave. (In such cases, you must also obtain a Signature of a
Responsible Service Employee before the account will be created.)
| Date:_______________ |
Your Name (print or type):________________________ |
Your Phone Number:________________________ |
Your E-Mail Address:________________________ |
Your Signature:___________________________ |
Web Site you are requesting permission to update/author: ________________________________________________________ |
Name of Supervisor Responsible for Web Site Content: (print)______________________ |
Signature of Supervisor Responsible for Web Site Content: ______________________ |
Fax this form to Jim Renne at (303) 236-7980
For more information, contact Jim Renne at (303) 236-4487 or jim_renne@fws.gov
Service Web Publishing Standards Handbook
Service Web Publishing Web Site