
Employee Name: _________________________ Effective Date: ____________________
Job Title: _______________________________ Monthly Stipend Amount: $125
Dept Name: _____________________________ Cellular Carrier:________________________
Cell Phone #: _____________________________ Business Purpose: _____________________
The Purpose
Employees who hold positions that include the need for communication outside of “normal” business hours or when the employee is away from the office may receive a monthly cell phone stipend to reimburse them for this business-related cost. Generally positions that will require this type of communication are Drivers, Managers, Sales Staff, and Production Staff. The monthly reimbursement or stipend will be treated as a non-taxable item to the employee. The Company will review and set the amounts to be provided for stipends and reimbursement on an annual basis. Monthly stipends will be paid at the end of each month.
Recipients of a cell phone stipend have the following responsibilities:
By signing below, I certify that I have read, understand, and agree to the Cell Phone Stipend Policy and my responsibilities under the policy.
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Employee Signature Date
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Supervisor/Manager Signature Date