Cellular Service Agreement Example
Doe, Jane, A.
The following one-time compensation for purchase of a communication device is approved:
The following compensation for ongoing cost of a mobile communication plan is approved not to exceed one year, beginning 05/01/2006 and ending 04/30/2007:
*Total rounded up to nearest increment of 10 to cover regulatory fees, surcharges, cell phone tax, and and tax on stipend.
Business justification and/or comment and explanation:
Employee Mobile Communication Services Agreement (Cont.)
I have read and understand the employee responsibilities detailed in the Employee Mobile Communication Procedures, PPM 3-65. I understand that university compensation for the purchase of a mobile communication device, mobile communication service activation fees (if applicable) and mobile communication service plan is taxable income and is NOT part of my base salary. I also understand that any device purchased is my personal responsibility. I certify that the mobile communication device will be used for the performance of my Weber State University job responsibilities as defined by my supervisor. I am responsible for the payment of any costs that exceed the university compensation approved on this form.
I understand that I am not authorized to use a mobile communication device to conduct Weber State University business while operating a motor vehicle.
This agreement supersedes previously executed agreements.