MSU EXTENSION
MIXED-USE MOBILE COMMUNICATIONS ALLOWANCE AGREEMENT
For the period of July 1, 2017 – June 30, 2018
Employee's Name:
Title:
Department/Institute:
Effective Date (mm/dd/yy):
Mobile Device Phone Number including Area Code:
Account Number:
Sub-Account:
This Agreement is for (PLEASE CHOOSE ONE OR BOTH):
 Mixed Use Mobile allowance
 Purchase of Equipment (see 4 below)
In the course of carrying out job responsibilities, there may be a regular need for business-related
mobile communications on the employee's device (including cell phones, smart phones, mobile
email/web devices, and other wireless/handheld devices which require a service contract for
operation).
1. In these cases, the employee is eligible for a mobile communications allowance if at least one of
the following criteria is met (PLEASE CHECK ONE OR BOTH):
 The job function of the employee (during the employee's normal working hours) requires
considerable time outside of the assigned office or work area, and it is important to the
University that the employee is accessible during this time.
 The job function of the employee requires them to be accessible outside of scheduled or
normal working hours (while at home, out of town, etc.).
2. MSUE allowances for mixed-use mobile communication plans, paid quarterly. A stipend of one of the
following, based on the submitted proof of device and plan; NOT to exceed the amount you pay monthly.
 $120/quarter ($40/month): an entry-level cell phone plan (without voicemail, text or
data)
 $180/quarter ($60/month): cell phone plan with voicemail and texting
 $240/quarter ($80/month): cell phone plan that includes voicemail, text and data"Smart" Phone
 Other: if an employee wishes to be reimbursed for less than the amounts noted above, she/he
may fill in the amount here:
Proof of cell phone contract is still required
Updated April 2017
 Pre-paid cell phone: Reimbursed at the end of each quarter for the lesser of the actual
amount of the invoices submitted or the related amount above, based on the proof of type of
plan noted in the invoice.
3. Employee is allotted up to an additional $75/quarter ($25/month) for data access for a small
tablet-style device. Charges must be specifically identifiable on bill.
 Check here if applicable.
4. If applicable, the maximum amount of non-recurring equipment allowance for the purchase of a
cell phone - available annually - is $100. * Initial necessary accessories may be included in this
$100. However, additional accessories are not an allowable expense.
Amount of non-recurring equipment allowance (maximum of $100)
Month and year (mm/yy) of the purchase
*Attach a copy of receipt(s) supporting purchase of equipment.
All mobile contracts are to be between the employee and the service provider. As such, if prior to the
end of a contract, the employee for any reason needs to change or end the contract, the employee
will bear the cost of any associated contract change or termination fees.
Employees receiving an allowance are required to maintain an active service contract for the life of
the allowance.
Mobile communications and equipment allowances are subject to all applicable taxes.
The use of a cell phone can negatively impact the ability of a driver to safely operate a motor vehicle.
Research studies show it is a distraction and can impair the level of concentration needed to drive.
For the safety of the driver, vehicle occupants, pedestrians and other drivers, it is important that
appropriate precautions are taken if a cell phone must be used while driving.
I have read this Agreement and Manual of Business Procedures Section 79 and I understand that my
mobile communications allowance is taxable income, is not part of my base salary, and that any
mobile communications equipment and service contract purchased is my personal responsibility. I
also understand that I am required to provide my mobile phone number to my supervisor. I
understand that the mobile communications will be used at least in-part in the performance of my
MSU job responsibilities as defined by my supervisor.
IMPORTANT: Please submit a recent copy of your cell phone bill with this agreement.
Employee Signature:
Approved: Institute Director Signature:
Date:
Date:
Updated April 2017