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Cell Phone Allowance Request Form FINAL

The document is a Cell Phone Allowance Request Form for employees at UCF, detailing sections for employee information, monthly allowance, and approval signatures. It requires justification for the cell phone's use for university business and outlines the approval process for allowances and device payments. The form must be signed by the employee and an authorized approver, certifying compliance with UCF policies.

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hebamohsen42
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73 views1 page

Cell Phone Allowance Request Form FINAL

The document is a Cell Phone Allowance Request Form for employees at UCF, detailing sections for employee information, monthly allowance, and approval signatures. It requires justification for the cell phone's use for university business and outlines the approval process for allowances and device payments. The form must be signed by the employee and an authorized approver, certifying compliance with UCF policies.

Uploaded by

hebamohsen42
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Cell Phone Allowance Request Form

Employee Information

New Change Request Term Request Renewal Request

Employee Name: ______________________________________________________________

Employee ID: __________________ Department/College: ______________________________________

The cell phone is being used to conduct university business and has been provided for non-compensatory business reasons. Please
check box(es) as applicable:

Employer needs to be able to contact the employee at all times for work related issues.
Employer requires the employee be available to speak with customers at times when the employee is away from the office or
at times outside the employee’s normal work schedule.

Employee Signature: ___________________________

Monthly Allowance

$ 0.00
Monthly Cell Phone Service: ______________ 0%
% UCF Use: ________ $ 0.00
Allowance: ________________
$ 0.00
Cell Phone and Accessories: ________________ (Amounts above $300 require Vice Presidential approval – not including gross up)

$ 0.00
Calculated Amount with Gross Up: ______________ Funding/Project Number: _________________
Department Contact: _____________________________ Phone Number: ______________________

I hereby approve the request


Print President, Vice President, Vice Provost, Dean, or Designee Name: _____________________________________

Approver’s Signature: _____________________________________ Date: _______________


Print Name: ______________________________________________
$ 0.00
Earnings Bi-Weekly Amount: ____________ (Amounts above $57.50 require Vice Presidential approval)

$ 0.00
One Time Device Payment with Gross Up: ___________ (Amounts. above $300 require Vice Presidential approval-not including gross up)

Approver Signature for Device Payment: _______________________________ Date: _______________

By approving this request, I authorize UCF to pay the employee allowance and certify that I have read and understand the UCF Cellular Telephone Acquisition and Use
Policy 4-009.2. I further certify that the use of an employee’s cellphone and allowance amounts are a requirement to fulfill this employee’s job duties. I affirm that the
allowance requested is appropriate for the level of usage.

Updated September 2024

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