Employee Agreement For Responsible Use Of Cellular/direct Connect Phones Page 2

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Employee Agreement for Responsible Use of Cellular/Direct Connect Phones
over the user allotted cellular/direct connect plan must be reimbursed to the district by the
authorized user and documented by the Business Department.
I accept responsibility for the cell/direct connect phone and will return it on my last contract day.
I understand the above conditions and knowingly and willingly enter into this agreement.
Campus/Department:____________________________________________________________
Name: ________________________________________________________________________
(Print Clearly)
Signature:________________________________________________ Date:________________
First contract day:_______________________ Last contract day:_________________________
Cell/Direct Connect Phone # ____________________________
Cellular/Direct Connect Phone:
Mfr________________ Model________________
Serial #_________________
Date Returned: _________________________________________________________________
Equipment Returned to:__________________________________________________________
Signature of Authorized User: _________________________________ Date: _______________
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