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City of <br />Pequott <br />�. Lakes= <br />CELL PHONE ENROLLMENT FORM <br />PLAN A — CITY -OWNED CELL PHONE AND SERVICE PLAN — City Use Only <br />I have been issued a City Cell Phone. I acknowledge that the Cell Phone is the <br />property of the City. I understand that this cell phone is restricted to City -use only <br />and cannot be used for personal use. I also understand that the call log will be <br />inspected periodically to ensure compliance with this requirement. <br />My Cell Phone Number is: <br />Department Head Signature <br />Employee Signature <br />Date <br />Date <br />PLAN B — EMPLOYEE OWNED CELL PHONE /SERVICE PLAN <br />I choose to have my own cell phone and service plan. I understand that this cell <br />phone is my personal cell phone but will also be used for work - related duties. I <br />understand that I will receive a stipend to help cover a portion of my cell phone <br />expenses related to work related duties. The amount of the stipend is stated in the <br />Cell Phone Policy and will be set annually by the City Council. I understand that my <br />cell phone number will become public as long as I am an employee of the City. I also <br />understand that in order to receive a stipend, I must complete this form and attach <br />a copy of my current cell phone service plan. <br />I own my cell phone and service plan <br />My cell phone is a Smart Device <br />My service plan consists of the following: <br />Up to 500 minutes per month <br />Over 500 minutes per month <br />