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Wireless Device/Service
Use Agreement
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| EMPLOYEE NAME: | EMPLOYEE ID: | ||
| DEPARTMENT: | EXTENSION: |
| The Undersigned
Employee is being issued a cellular telephone or pager by the University
to be used to conduct activities consistent and conducive to the business
of the University. It is the policy of the University that cellular telephone or pagers
issued by the University are used primarily for University business and not for personal purposes or for
private gain or advantage. The Undersigned Employee agrees to be responsible
for all charges deemed to be outside of the University/Paid Portable communication Devices & Off -Campus Internet Services & Devices Policy (The Policy).
The Undersigned further agrees that cellular telephone or pagers are not to be
used while operating automobiles or other equipment. The Undersigned Employee
acknowledges the service plan outlined below and agrees to adhere to the
service plan or seek approval of adjustment to the service plan. Any adjustments
to a service plan will also require execution of a new Wireless Device/Service
Use Agreement. Account Payable will process payment for cellular telephone or pagers and send copies of the invoices to the Undersigned Employee's department. The Undersigned Employee's department will review the monthly invoices. A specific individual, identified below, will be responsible for auditing the monthly invoices. Any reimbursement shall be made by the Undersigned Employee by forwarding a check made payable to "CSUN" to Accounts Payable, Mail Drop 8202. The check should reference thecellular telephone or pager number in the memo section of the check. The Undersigned Employee accepts responsibility for the use, security, and appropriate use of the cellular telephone or pager. The Undersigned Employee is responsible for all calls to and from the cellular telephone or pager, whether made by the Undersigned Employee or by other individuals. The Undersigned Employee understands this service is a privilege and failure to follow the procedures contained in The Policy can result in a revocation of this privilege. If the cellular telephone or pager is lost, damaged or stolen, the Undersigned Employee agrees to contact Purchasing & Contract Administration immediately at (818) 677-2301. Should the Undersigned Employee or Department terminate the service, or, if the Undersigned Employee transfers to another University department, the Undersigned Employee must return the cellular telephone or pager, (and all accessories), to the Purchasing & Contract Administration department at the time of termination of service or prior to transfer to another department. Should the Undersigned Employee terminate employment from the University, the Undersigned Employee must return the cellular telephone or pager, (and all accessories), to their department as part of the separation/clearance process, as outlined by Human Resource Services, prior to separation from the University. |
| Check one of the following: | THIS IS A NEW REQUEST. | CELLULAR TELEPHONE | PAGER | ||||||||||||||||||||||||
| RENEWAL/THIS IS AN EXISTING SERVICE | THIS IS AN UPGRADE | ||||||||||||||||||||||||||
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REQUIRED
FIELDS:
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ACCOUNT:
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FUND:
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DEPT
ID:
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PRGM:
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CLASS:
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PROJECT/GRANT:
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REQ
#:
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| Acknowledgment & Approval: | THIS CELLULAR TELEPHONE/PAGER USE AGREEMENT EXPIRES JUNE 30, 2008. | |
| EMPLOYEE SIGNATURE: _______________________________________________ |
DATE: _____________ |
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| FINANCIAL MANAGER SIGNATURE:________________________________________ |
DATE:
_____________ |
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| DEAN, DIRECTOR OR VP SIGNATURE:_______________________________________ |
DATE:
_____________ |
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~ Purchasing Department Only ~
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| TELEPHONE NUMBER: _____________________ | PROCESSED BY: __________________________ |
| COPY TO ACCOUNTS PAYABLE (DATE): ____________________ | PURCHASING & CONTRACT ADMINISTRATION |