Fillable Printable Employee Contract Form - State University of New York at Oswego

Employee Contract Form - State University of New York at Oswego

Employee

(All rates are subject to change with 30 days notice)

10/2013 SAS

SUNY Oswego

CTS-Telecommunications Office

Contract for Employee Business/Personal PBN

PLEASE PRINT CLEARLY

Name

___________________________________

Campus ID #

____________________________________

Dept. Name__________________________________ Home Address:

Dept Billing #_______________________________ Street Address __________________________________

Building _____________________ Room #_______ City/State/Zip __________________________________

Private Ext# __________Published Ext#___________ Home Phone #_________________________________

SUNY Oswego Email Address________________________@oswego.edu

Laker NetID: ______________________

You must notify our office of any change(s) of address, campus or home.

This form is a contract for a confidential Employee Department and/or Personal 7-digit PBN (Personal Billing Number). A PBN is needed to

make any off-campus calls, including local, long distance, and toll free calls.

To obtain a Department PBN our office must have written authorization from your department’s chairperson. {Please refer to #1 on reverse

side}.

You may disconnect your PBN at any time, providing you submit written notice to the Telecommunications Office. Deactivation will be made

promptly.

Please select any of the following that apply to you:

□

Applying for new PBN

□

Returning employee

□

Changing departments

□

Split position requiring an additional dept. PBN

□

Have an existing Department PBN ---- If so, which department(s)? ____________________________________________________

Please select which PBN (s) you are applying for:

□

Department PBN: _______________________

□

Personal PBN: _______________________

~~~~~~~~~~~~~~ACKNOWLEDGMENT~~~~~~~~~~~~~~

I have received and read the terms and conditions, stated on the back of this form, and agree to assume full responsibility for

all charges, calls, and taxes incurred. In addition, I assume responsibility for the use of any services that I have requested.

Upon receipt of the monthly email notifications, I agree to render payment by the due date specified on the telephone

statement. Any past due balances MUST be paid in full before my application for services will be processed.

Employee Signature: ___________________________________________________ Date: _________________

I hereby authorize the above named employee to receive a PBN to be billed to the department function number stated above.

Dept. Chairperson or Supervisor Signature: _________________________________ Date: _________________

For office use only:

Updated in Pinnacle Subscriber ID: _______________________

Updated in Web Portal

Updated in Cisco Employee Initials ______ Date __________

Employee

(All rates are subject to change with 30 days notice)

10/2013 SAS

SUNY Oswego

CTS ~ Telecommunications Office

Terms and Conditions

SUNY Oswego is pleased to furnish campus telephone service. Local and long distance service will be provided, subject

to the following conditions:

RESPONSIBILITY

– Each employee must complete an application form in full and submit it to the

Telecommunications Office in order to receive a confidential personal 7-digit PBN (Personal Billing Number). To

receive a Department PBN, your supervisor or the chairperson of the dept can either sign the front of this form,

or they may send a memo. The memo must state: the employees name, campus id number, campus ext., dept.

name, and the dept. account number to be charged for the services to be billed against. Once issued the

employee becomes fully responsible and liable for all calls charged to their PBNs until such time the employee

gives written notice to the Telecommunications office to disconnect their PBNs. If an employee should lose their

PBN or suspect theft or misuse of the PBN, that employee must immediately notify the Telecommunications

Office in writing. Upon notification the old PBNs will be disconnected and new PBNs will be issued. The

employee is responsible for payment of all charges on their bill until the time the PBN is reported lost or stolen to

Telecommunications. Do not share your PBNs with anyone, employee or student. Any calls made with

your PBNs are your responsibility.

DISCONNECTION - You may disconnect your PBNs at any time, providing you submit written notice to the

Telecommunications Office. Deactivation will be made promptly.

BILLING – Local and long distance calls are billed against your PBNs on a monthly basis. Every employee with

a balance on his or her personal account is sent a monthly email notification to their SUNY Oswego email

address when their bill is available to view online. You can view the bill at http://myphone.oswego.edu. Select

the Customer Web Portal and login using your SUNY Oswego Laker NetID and email password. It is the

employee’s responsibility to notify Telecommunications of any change of address or if they have not received the

monthly notifications. Every bill has a predetermined due date of the 22

of each month. Should the 22

fall on

a weekend or holiday, the due date will be the following business day.

RATES – Local calls are billed at 10¢ for the first 3 minutes, and 3¢ for each additional minute. Long distance

calls are billed at a 15% discount off AT&T long distance rates (7¢ to 33¢ per minute depending on the time of

day of the call). International calls are billed at a 50% discount off AT&T international rates. Local Calls within

the 315 area code include phone numbers with the following exchanges 207, 216, 236, 297, 312, 326, 341, 342,

343, 349, 402, 529, 532, 561, 564, 591, 592, 593, 596, 598, 602, 746, 806, 887, and 963.

PAYMENT OPTIONS – On Line: credit card payments – MasterCard, Visa, Discover & American Express are

accepted through Cashnet: https://commerce.cashnet.com/oswegoempay?cname=telecom. By Mail: checks

made payable to ‘SUNY Oswego’. Please mail to 102 Culkin Hall. Please do not send cash through the mail. In

Person at 102 Culkin Hall: Cash, check or certified funds payments are accepted in the office.

DELINQUENCY POLICY – If payment is not received by the due date, you will be sent email notification that

your account is delinquent and will be subject to a $10.00 late fee. Should this notice be ignored, your account

will be assessed the late fee, be subject to payroll deduction and your personal PBN will be disconnected if left

unpaid. Once employment has been terminated, any account with an outstanding balance will be sent to our

collection agency for processing.

RETURNED CHECKS – When a check is returned from the bank the amount of the check will be reapplied to

your account and a $20.00 penalty will be assessed. Telecommunications will NOT resubmit any returned

checks.

MISUSE OF SERVICES/FRAUD – Fraudulent use of the telephone system including voice mail is considered a

misdemeanor under the penal codes of the State of New York and is punishable by up to 1 year imprisonment

and/or $1,000 fine. The provision of telephone service is subject to federal, state and local regulations.

Employees may also be subject to SUNY Oswego disciplinary action, if necessary. If voice mail service or PBNs

are abused or misused in any way, the voice mailbox or PBNs will be disconnected immediately.