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Series 704.1P - Agreement for the Use of or Supplemental Compensation for a Cellular Device

 

If the responsibilities of your job as an employee of District 196 require you to have the use of a  

To insure district compliance with state and federal laws, choose one of the following options:

Option 1: Employee-owned Cellular Devices

If your supervisor has determined your job or program justifies the use of a cellular device for the fulfillment of your job responsibilities (refer to section 2.1 of Regulation 704.1AR, Cellular Devices), you will receive monthly supplemental compensation from the district. Depending upon the level of service deemed appropriate by your supervisor, supplemental compensation will be $45 per month for a cell phone or $90 per month for a smartphone and you will agree to waive any and all additional communications expense reimbursements.

This agreement must be resubmitted annually prior to June 30! 

Option 2: District-owned Cellular Devices

If your supervisor has determined your job or program justifies the use of a district-owned cellular device for the fulfillment of your job responsibilities (refer to section 3.1 of Regulation 704.1AR, Cellular Devices), you must acknowledge that this cell phone, smartphone or pager will only be used for business purposes and never for  personal use. The district is exempt from federal and state tax only when personal use of district-owned cellular devices is prohibited. All district-owned cellular devices are subject to periodic internal audits for compliance.  Monthly statements will be reviewed by you and your supervisor.

MUST BE COMPLETED BY EMPLOYEE

I acknowledge that I have read and agree to the conditions in Administrative Regulation 704.1AR, Cellular Devices. Reasonable precautions must be taken to safeguard the privacy and security of student information or other private or confidential information stored or received on a cell phone or smartphone.  Such devices must not be used to store or communicate private or confidential data unless security features, such as encryption or password protection, are utilized.  All private or confidential information stored on a cell phone or smartphone must be removed upon separation of employment.

                                                                                                                                                                        

Employee name (print)                                                                          Employee number

                                                                                                                                                                        

Employee signature                                                                               Date

                                                                                                                                                                       

School/department                                                                                Cellular phone number

Effective date:  ___________ 

Check one:     □ Option 1    If Option 1, indicate level of service:   cell phone    smartphone

                        □ Option 2    Provider                                    

SUPERVISOR APPROVAL

                                                                                                                                                                      
Rationale for decision                                                                                                         
Date

  FUND         org         prg         fin         obj        crs

 

 

 

 

320

 

                                                                 

Principal/coordinator signature

                                                                                           

DIRECTOR APPROVAL

 

                                                                                                                                                           

Director’s signature                                                                          Date

Submit to Accounts Payable

Procedures/704.1P/06-19-13