Cell Phone Usage Log
Information below must be compared to the monthly statement provided by the cell phone service provider. It is required that this log be completed when the taxable stipend option is not used. Business Device - Cell Phone Number:
Include Area Code
Employee Name:
Printed Name
In (Incoming Call); Out (Outgoing Call); Bus (Business Call); Per (Personal Call) Additional rows may be inserted as needed. Date Time In Out Bus Per Phone Number Name of Person Purpose (please keep this concise)
Certification and Signature:
The information listed on this Cell Phone Usage Log has been reviewed, is accurate, and represents the correct identification of personal or business related calls.
Signature of Employee
Date
Signature of Designated Approver
Date