Attachment I
Texas
State University
Personal
Cellular Services Allowance Form
This form authorizes
an employee an allowance for reimbursement up to $600.00 USD for university use
of their personal cell phone plan. Note: This allowance is intended to assist
with the cost for usage of cellular service, and not necessarily to cover the
total costs.
In order to
obtain an allowance for an employee:
|
|
Printed
Name |
Texas State
PLID |
|
|
Department |
Work
Phone/Cell Phone |
|
|
Account
Manager |
Allowance
Amount |
Please select
appropriate level to determine the monthly allowance from the schedule below.
Level |
Plan Level
I |
Plan Level
II |
Plan Level
III |
Amount |
$20.00 |
$35.00 |
50.00 |
(Note:
explanation of each service plan level is found on the second page of this
form)
I have read UPPS No.
05.03.11, Texas State Wireless Cellular Communication Services, and
understand
Employee’s
signature Date
Authorizing
Signature Date
Division Vice
President
College Dean
Athletics
Director
Legend:
Service Plan Level |
Description
– Usage is defined as voice, data, features, etc. regardless of instrument
type. |
I |
Minimal amount
of business usage anticipated |
II |
Moderate
amount of business usage anticipated |
III |
Power user,
much of anticipated usage is business-related |