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<br /> Acknowledgement <br /> A Cell Phone Plan and Use Acknowledgement Signature Form will be required to be <br />completed prior to any employee using a City-owned cell phone or receiving a cell phone <br />allowance. <br /> <br />City of Orono <br />Cell Phone Plan and Use Acknowledgement <br /> <br /> <br />As an employee that has been identified as being in a position that requires the use of a cell <br />phone, I acknowledge that I have received the City of Orono’s policy on Cell Phone Use and <br />understand that this receipt will be filed with my personnel records. <br /> <br />I hereby choose the following: <br />□ I will use a city provided cell phone. <br /> <br />□ I choose to use my personal cell phone. I understand that under current IRS regulations, <br />the cell phone allowance reimbursement that I will receive is not taxable. If IRS regulations <br />change I understand that the reimbursement amount may will be added to my taxable income. <br /> <br /> <br /> <br /> <br />_____________________________________ <br />Name (Please Print) <br /> <br /> <br /> <br />My Phone Number is: ___________________ My Provider is: ___________________ <br /> <br /> <br /> <br />________________________________ ___________________________ <br />Signature Date <br />