Mobile Communication Device Agreement

An employee's supervisor initiates a document describing the business case for an employee's UB-supported mobile communication device. The employee agrees to the terms and signs the agreement.

The Mobile Communication Device Agreement documents the supervisor's approval and employee's agreement to the terms of receiving a department-owned mobile communication device or an allowance for a personally-owned device. Business need must be reviewed and approved annually by the employing department.

Mobile Users

For the best experience in completing this form use a non-mobile device.

Completing the Microsoft Word Form

  1. Browse the Word document for instructions and form content
  2. Enter requested information into the form
  3. Print the form
  4. Get required signatures
  5. Scan a copy of the signed form for your records

Need Help Completing the Form?

Ryan Lysarz

Purchasing and Contract Services

Phone: 716-645-4573


Form Facts

Form Type: Downloadable, MS Word document

Requirements: MS Word

Updated: 8/2019

Owner: Policy and Operational Excellence