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3rd Party VPN Request Form
City Information
Primary Contact Name
First Name
Last Name
Primary Contact Email
Primary Phone Number
Contractor's Information
Contractor's Name
First Name
Last Name
Contractor's Email
Contractor's Phone Number
Contractor's Business Name
Contractor's Business Address
Street Address
City
State
Zip
Project Information
Director Head
Choose One
City Clerk - Mindy Cuppy ~ MCuppy@cityofsacramento.org
City Attorney - Susana Alcala Wood ~ SAWood@cityofsacramento.org
City Auditor - Jorge Oseguera ~ JOseguera@cityofsacramento.org
City Treasurer - John Colville ~ JColville@cityofsacramento.org
CDD - Tom Pace ~ TPace@cityofsacramento.org
CCS - Megan Van Voorhis ~ mvanvoorhis@cityofsacramento.org
EDD - Melissa Anguiano ~ MAnguiano@cityofsacramento.org
Fire - Gary Loesch ~ gloesch@sfd.cityofsacramento.org
Finance - Leyne Milstein ~ lmilstein@cityofsacramento.org
HR - Shelley Banks-Robinson ~ SMBanks-Robinson@cityofsacramento.org
IT - Darin Arcolino ~ DArcolino@cityofsacramento.org
Office Public Safety Accountability - Kevin Gardner ~ KGardner@cityofsacramento.org
Police - Daniel Hahn ~ dhahn@pd.cityofsacramento.org
Public Works - Ryan Moore ~ RMoore@cityofsacramento.org
Utilities - Pravani Vandeyar ~ pvandeyar@cityofsacramento.org
YPCE - Mario Lara ~ MLara@cityofsacramento.org
Please list the projects this contractor will be working on for the City, and their expected end dates
Why will VPN access be needed for the projects listed above?
disregard this