ࡱ> uwt Fbjbj)) 8^CgCg \\8TE&tzrrrr&v< %%%%%%%'o*%]"&%\\rr%$$$R\8rr%$%$$$rp9JR$%&0E&$+d+$+$$%%!E&+X ":  ECD Allowance Request Form Electronic Communication Devices and Services Human Resource Services, Lommasson 252 Ph: 406-243-6766  HYPERLINK "mailto:AskHR@mso.umt.edu" AskHR@mso.umt.edu  Complete an ECD Request Form: (1) Once each fiscal year for any employee already receiving a monthly allowance for electronic communication device or service and submit to HRS by June 15th for fiscal year employees and August 1st for academic year employees for the renewal of the allowance. (2) For employees newly qualified for an ECD allowance. (3) For change of status to ECD allowance. (4) For termination of ECD allowance. (5) For request of one-time payment of allowance for equipment. This form must be sent to HRS for processing. Thank you.  Employee Name:  FORMTEXT       Employee 790#  FORMTEXT       Department:  FORMTEXT       Roster #: FORMTEXT       Supervisor:  FORMTEXT       Begin date:  FORMTEXT       End date:  FORMTEXT       (Note: Allowances will terminate automatically each fiscal year end). Bi-Weekly amount of ECD allowance:  FORMTEXT       (Note: Annual Amount divided by 26 equals the BW amount. Amount will be pro-rated by contract dates). Department Contact:  FORMTEXT       Phone:  FORMTEXT        Check Appropriate Box:  FORMCHECKBOX  Establish new ECD allowance for employee  FORMCHECKBOX  Renew ECD allowance for fiscal year  FORMTEXT       (Submit form to HRS by June 15th each year).  FORMCHECKBOX  Terminate ECD allowance for employee (Allowance will terminate automatically if not renewed each fiscal year).  FORMCHECKBOX  Request one time allowance for equipment purchase  FORMCHECKBOX  Change annual amount of ECD allowance / New Amount:  FORMTEXT        FORMCHECKBOX  Change of Index number for ECD allowance  Index:Account:Pay (Opt):Special Conditions: FORMTEXT      61311 FORMTEXT       FORMTEXT       FORMTEXT      61311 FORMTEXT       FORMTEXT       FORMTE #$RUln{|Ǹ|k|k|k]J]J7J]%hEPZh/!0J5OJQJ\]^J$jh/!5OJQJU\]^Jh/!5OJQJ\]^J!h/!h5OJQJ\]^J!h/!h/!5OJQJ\]^J!h/!hx~5OJQJ\]^Jhx~OJQJ^Jhc:]hc:]5OJQJ\^Jhx~5CJOJQJ\^Jh/!hc:]5OJQJ\^Jh5CJOJQJ\^JhmHnHu jh 9hUmHnHu$R T V ( * 8FDFdx`  !dxdx$a$gd ʶuddRddAAuu h/!haCJOJQJ^JaJ#h/!hc:]CJH*OJQJ^JaJ h/!hyLCJOJQJ^JaJ h/!h/!CJOJQJ^JaJ h/!hc:]CJOJQJ^JaJh(t4CJOJQJ^JaJ h(t45CJOJQJ\^JaJ&ho`hc:]5CJOJQJ\^JaJ&ho`hx~5CJOJQJ\^JaJ hx~CJj"hx~CJU!h/!hx~5OJQJ\]^J  ( - . R S X Y x z ~      ޿ޮ}k]hx~CJOJQJ^JaJ#jhx~CJOJQJU^JaJ hx~CJhx~CJOJQJ^J hx~CJjc#hx~CJUhc:]5CJOJQJ\^J h/!ho`CJOJQJ^JaJh/!CJOJQJ^JaJ h(t4h(t4CJOJQJ^JaJ h/!h/!CJOJQJ^JaJ h/!hc:]CJOJQJ^JaJ        " * , . B D F H J L N P R T V n p زز{{oزZ)j$hx~CJOJQJU^JaJhx~CJOJQJ^J hx~CJ)j}$hx~CJOJQJU^JaJh/!CJOJQJ^JaJhtkCJOJQJ^JaJhx~CJOJQJ^JaJ.jhx~CJOJQJU^JaJmHnHu#jhx~CJOJQJU^JaJ)j$hx~CJOJQJU^JaJ#        " ( * @ B D X ҥ~fffffXhyLCJOJQJ^JaJ.jhx~CJOJQJU^JaJmHnHu)j%hx~CJOJQJU^JaJ#jhx~CJOJQJU^JaJ.jhok}CJOJQJU^JaJmHnHu)jm%hok}CJOJQJU^JaJ#jhok}CJOJQJU^JaJhok}CJOJQJ^JaJhx~CJOJQJ^JaJX Z \ ^ ` b d f h j ز}eeeeeTC hFe}hFe}CJOJQJ^JaJ hFe}hyLCJOJQJ^JaJ.jhyLCJOJQJU^JaJmHnHu)j&hyLCJOJQJU^JaJ#jhyLCJOJQJU^JaJhyLCJOJQJ^JaJhx~CJOJQJ^JaJ.jhx~CJOJQJU^JaJmHnHu#jhx~CJOJQJU^JaJ)j]&hx~CJOJQJU^JaJ  2468FHLNXͿpbPb;P)jM'hx~CJOJQJU^JaJ#jhx~CJOJQJU^JaJhx~CJOJQJ^JaJ#hDh-5CJOJQJ^JaJhFe}5CJOJQJ^JaJhok}5CJOJQJ^JaJ hyLhyLCJOJQJ^JaJhyLCJOJQJ^JaJh/!CJOJQJ^JaJ hyLhyLCJOJQJ^JaJ hFe}hyLCJOJQJ^JaJ hFe}h/!CJOJQJ^JaJJNP~ȺyhbTFFhx~CJOJQJ^JaJhx~CJOJQJ^JaJ hx~CJ hFe}hx~CJOJQJ^JaJ hFe}hR CJOJQJ^JaJ hFe}hrCJOJQJ^JaJ hFe}hok}CJOJQJ^JaJhFe}CJOJQJ^JaJhok}CJOJQJ^JaJh/!CJOJQJ^JaJ#jhx~CJOJQJU^JaJ.jhx~CJOJQJU^JaJmHnHu  DFHJfزززppddزhx~CJOJQJ^Jhx~5CJOJQJ\^J hx~CJj(hx~CJU)j=(hx~CJOJQJU^JaJh/!CJOJQJ^JaJhx~CJOJQJ^JaJ.jhx~CJOJQJU^JaJmHnHu#jhx~CJOJQJU^JaJ)j'hx~CJOJQJU^JaJfhjl,.0DFHJLNPRTXZ\ʼʧؼʒzzzzzؼi[iI#h h CJH*OJQJ^JaJhDCJOJQJ^JaJ h h CJOJQJ^JaJ.jhx~CJOJQJU^JaJmHnHu)jC*hx~CJOJQJU^JaJ)j)hx~CJOJQJU^JaJh CJOJQJ^JaJhx~CJOJQJ^JaJ#jhx~CJOJQJU^JaJ)jW)hx~CJOJQJU^JaJ"$&(XrʸyhhVhE hjhx~CJOJQJ^JaJ#hjhj>*CJOJQJ^JaJ hjhjCJOJQJ^JaJhjCJOJQJ^JaJhdM9CJOJQJ^JaJ)j*hx~CJOJQJU^JaJhx~CJOJQJ^JaJ#jhx~CJOJQJU^JaJ hx~CJ h hx~CJOJQJ^JaJhDCJOJQJ^JaJ h h CJOJQJ^JaJDFx~ 2 p@ P !$($Ifd<dx BDFHJfhjlzʼʧʙʙv^^^^^X hx~CJ.jhx~CJOJQJU^JaJmHnHu)j,hx~CJOJQJU^JaJhyLCJOJQJ^JaJhpCJOJQJ^JaJ)j+hx~CJOJQJU^JaJhdM9CJOJQJ^JaJhx~CJOJQJ^JaJ#jhx~CJOJQJU^JaJ)j1+hx~CJOJQJU^JaJ  "$tvx|~ѼѮѨzzzzkYKhok}CJOJQJ^JaJ#jhok}CJOJQJU^JaJhok}5OJQJ\^JaJ hok}5CJOJQJ\^JaJhx~5CJOJQJ\^Jj -hx~U hx~CJ hx~CJhpCJOJQJ^JaJ)j,hx~CJOJQJU^JaJhx~CJOJQJ^JaJ#jhx~CJOJQJU^JaJhx~hphx~CJaJ @heDDDD 2 p@ P !$($Ifkd-$$Ifl\ #4064 lalytok}  .02468:<>@BVXZ\^`bdfhjlزززززyزd)j0hok}CJOJQJU^JaJhok}5OJQJ\^JaJ)jJ/hok}CJOJQJU^JaJ)j.hok}CJOJQJU^JaJhok}CJOJQJ^JaJ.jhok}CJOJQJU^JaJmHnHu#jhok}CJOJQJU^JaJ)jZ.hok}CJOJQJU^JaJ'hjeDDDD 2 p@ P !$($Ifkd/$$Ifl\ #4064 lalytok}>>> > >>>>>>>>$>&>:>ȳȞȏȍx)j2hok}CJOJQJU^JaJUhok}5OJQJ\^JaJ)j{1hok}CJOJQJU^JaJ)j1hok}CJOJQJU^JaJhok}CJOJQJ^JaJ#jhok}CJOJQJU^JaJ.jhok}CJOJQJU^JaJmHnHu.>$>L>t>eDDDD 2 p@ P !$($Ifkd1$$Ifl\ #4064 lalytok}XT      61311 FORMTEXT       FORMTEXT       FORMTEXT      61311 FORMTEXT       FORMTEXT       FORMTEXT      61311 FORMTEXT       FORMTEXT       Funding Note: If funding source is from a grant, you must verify that the grant is able to accept charges for the purpose of allowance to employees for electronic communication devices and services.  Approval Signature(s) / Date:  FORMTEXT       Signature: __________________________________ Date:  FORMTEXT       Signature: __________________________________ Date:  FORMTEXT           Form must be signed by department head and appropriate Vice President/Provost Vice President/Provost---------- President Administrator ---------------------- Vice President/Provost Faculty ------------------------------ Dean/Provost Research Faculty ---------------- Dean/VP of Res & Dev Contract Professional ----------- Dean/Director Staff --------------------------------- Dean/Director :><>>>@>B>D>F>H>J>L>N>b>d>f>h>j>l>n>p>r>t>v>x>>>>>>>>>>>>>>>>>>ززززyززd)je5hok}CJOJQJU^JaJ)j4hok}CJOJQJU^JaJhok}5OJQJ\^JaJ)j3hok}CJOJQJU^JaJhok}CJOJQJ^JaJ.jhok}CJOJQJU^JaJmHnHu#jhok}CJOJQJU^JaJ)j43hok}CJOJQJU^JaJ't>v>>>>>eDDDD 2 p@ P !$($Ifkd$4$$Ifl\ #4064 lalytok}>>>>>>>>>>>>>>>>>>>??????? ?"?$?0?2?F?H?J?L?N?P?R?T?V?X?Z?n?ȳȤȏz)j7hok}CJOJQJU^JaJ)j7hok}CJOJQJU^JaJhok}5OJQJ\^JaJ)j5hok}CJOJQJU^JaJhok}CJOJQJ^JaJ#jhok}CJOJQJU^JaJ.jhok}CJOJQJU^JaJmHnHu*>>$?0?X??eDDDD 2 p@ P !$($IfkdU6$$Ifl\ #4064 lalytok}n?p?r?t?v?x?z?|?~???????.@AAAAA"AزteVVeF>8 hx~CJj39hx~UjhFe}CJUmHnHuhho`CJOJQJ^Jhhx~CJOJQJ^Jhhx~>*䴳ϴ>*䴳ϴʔ5Cϴ^ǰ차5Oϴ^ǰ차䴳ϴ.ǰ차䴳ϴԱ#ǰ차䴳ϴ)8ǰ차䴳ϴ???"ڴᴡ46<kd8$$Ifl\ #4064 lalytok} "ATAVAXAZAfAhAjAnApAAAAAAAAAAAAAB B B B"B$Bʼʏʼ}oZ})jM:hx~CJOJQJU^JaJhx~CJOJQJ^JaJ#jhx~CJOJQJU^JaJ.jhx~CJOJQJU^JaJmHnHu)j9hx~CJOJQJU^JaJhx~CJOJQJ^JaJ#jhx~CJOJQJU^JaJhx~CJOJQJ^JhFe}CJOJQJ^Jhx~CJOJQJ^J$B&B(B*B,B.B0B2B4B6B:BDDDpDrDDHEZEtEEFFFFʹʥwwwwwwfwwwb^X hx~CJhhx~ hFe}hFe}CJOJQJ^JaJ hFe}hx~CJOJQJ^JaJ hFe}hDCJOJQJ^JaJhx~CJOJQJ^J&h$8hx~5>*CJOJQJ^JaJ h^5>*CJOJQJ^JaJ he'5>*CJOJQJ^JaJ&h$8ho`5>*CJOJQJ^JaJ hFe}5>*CJOJQJ^JaJFF6&P1h:p/!/ =!@"@#@$@% "Dd  A?Fimage003Picture 9cid:image003.png@01CEA277.B43BF800"b!g™ '=e{!Dns!g™ '=ePNG  IHDR2ݝsRGB@} pHYs+tEXtSoftwareMicrosoft Office5q IDATxŲPrsĜ5a0zE(*欘s(9`YQ0EQ BS̙|_{vwLOw+WMԩS]yGy=ǴiPec.騬,OyA?;}n5 8m׷;bPOiӧgsSeϦ5zs+mlF~ײk١曻+M0!^pʣ `1Qzkڮv," \-Ե[[r=W_ݝvY>Sˣ F8cyeТZ`mkq{7ܑ56k^ueݐcuo7Te1#rM gx{ᥗjS\&(`/.r+:vm^TcO<}[?;]UV^x8"GNOZ<4i{Ws/ Ϡ<ʠ9LK '󝫯}'r.pTaǝtcN8x~s/;^eW]>l/wwM4254, ~3[6Liw9#;W\s{ zL*#L~.{. zY0?篾*^sKb k_fS/OK>U]Q| .0ŗ_^׬];0sñvKv.CEED㮻Yhx[g Dͷ c/cK/ɜa&D xgwo>dq;+ĦCteq_} [xiQGN9EL0`nu =x1N9 a }wUg7l3w=]e5v!5|8kO>t 7zkL /vK}3 p`0ʴ0>;Xw]aw]oϘVqb+]}.{) c:|B%x⩧P`g@4:(k*:?D7Ҝ@.]Tt>s`pnWt*׭+t~MOq-{.|&IgobƆa=pC`Tz& ~Qa(7Ռ@$s 4H$/8M+#HACkπI>nn q@ .` $fYc< ACM^:v1CCTPXn VZI}1Ofl# tQm '{]EMްW/tgUMNmM'^7H'㧟~rw{u$ҀP7U*]"7Dg\_xc3/j,&6D^]I'{Ih!GCO?-IV[U*#J轩'S"-:Dyz)gchu )j$ q&Tz|KD]FjzSdE7hqF5\u،<1z׾)W?W)> %gux".끊&Go[?ST~8~#Gw4ʫ py9a2cڽ"tز nVc,JTMJUXSouA2d^5q 7ȺrW&f ߩ%yU}q$9I5n XQO@=iU7yiC<%=w꽀ރXW{%Mj>ܳ5&暽=l4 @a08񇄎<K#_Ok'aY^Zyd8C{YGVߢ=*9Mu'xp&[nH'7`>̧^ ռwQqfJPKHz:j6JЫ0 @[%Ǟ 7.: +q\|eZ. 7TԌ˫՚AÏ? ^Hf GVo/L( ī|2t)Q2 qMA} W\KZ+8lGuyxHz=GP bM&tE\Sw :MJo6[^b 7#<$|.*pbs{ዮGhk"HR;!qn.{wȖT^NsQ{%xlR-cUz'xgDR\yH{ kT{ޛ=oD48Hz=9l.pz `*hW"ۇl&*1m t8D}dέ`OF"IJR$Q9H2ӓO?]`?%1qęGZ2/Ahނ#'݀D@Oޛr%|ӿ;1H0a6 4'VnHӇkD,a ѡUv[ltȅ}ݮ>eVX!P#ЭFNf[Ї[עPۼ괱ܢā"U )Ĩ@A; 1){&qV{E wܓA"ُ?z!L N] ?%I1voEg<+9 jkbI~HT$#@]λʃq{TK/w{O?֩NF œٳm>hJaF?aS-ΚeW#Rc!8 s^[@W|i!EŴcnm>~w{NkXPT{4P\9j 8fme*+/QnM-Y:;84+1fG1{JVPkG58N a^ݢuXFp)/5hGgk211i( } px@s@Jr$#'gۨ$$5Jb0lFG< F$-Mgv\FR;ws|aIz̤۶M')j~]^חf&v}u0b% zR{{ \xT._q )%*T Ic!L1]i.boA=U# "4oD$;^J=0)b`?bIm=wf<8fTuy&&K{>…,4*͛ŖGҳ6ܯ*Zk!>P[P2Ы+Q=^D{"ztG:PQViC~q3@#VY"Y-j蓮4=(cZ4 >HR^$IR6 ;zoI%_.~=ئOdl=3&?m}%$2}k묺&P@eC}5dqZT祵!&Di*& e:#F}ZPdtCZpDMA)d :[۫:Mb 5RaAe4{c%}苁 *T뚺hbAgc_P$Iz`ĩ%Z H3ΠWhSi47ulv/'YaEB(6d]g QTA8,<gyj5l? CPU@I:,m p`4h zݙJ,qј:{U@>Ќ| =&V[ha" KOXmsJ=`%KjSͷ>ڀ)ϾU$ՙL;A5PJUkz+,lR hø(`P3(-(J5DhP\ PF^e 4 $aV~F:MgrlI =Ǔ<#e\ ̥Y j&̋| ?vm*jz.jl&%JqF@;)kEmرn%B, ܬȋ%rV/RS#xƩCЇs-AUGBX&& z@JsE)Iev'mm mG*z %==Ėѣ bgPVM@ @@X b$maf(] 7(k9jHY ֤VCj!9⫴tUQYC ,~_uuC7哥i Lix1kY1_k*x2gM/~.n84f P#2=^VD,)i{E407VQ䈃~$g%4qbܠ;^!^Pנ\ٸC s09xѵH0QSGBl!赥X1ߑs!|~סaٺ}1^,չgFoj"M-zF%@iFq/|oZ$zp&N@ElM X9 @цD69pԨSHA úV נr;Hzb7Yߦ}JUi:TܵKkZނ*u$5|H=gF>@ +3%lAq0sV♴,IvPnSMA \Kt z(zv8qm;9iED@[+6<2Yc=RҪ6u[mG!<I BG60)H`KmܒʼE6Y-|Ȝ[t wхfg?Hf%tI_zT^z+-0\;G)tϥt{SB˯AC€22G6y@}Z(R!2ľՓvD3;IG90lʭ:KRs޷*D+Y\yAE3>oIlV^=ocg4V 2OCb+$oj zQ* -xM>VS"$T"\o58|a ze|fܿeJ* {":qQe܏&ЁMQ.*yq6 iזDES2\ A}0G'Wܼj};OL~jllK=&€$#Ky{' ?>H Cs GS/*KQCUV~zֵ":yEQGUõao,sAh''s68pu{=*'xpԜimZr(u@]tC7JK&ofUUVt&Q2@>S!Dň9N]FMKA&]ev4%:o"{4ظDǼ"Nֵ!q}ׅunjhE0Qx:$XJ!aߖQ2.:V{9:zD{0&j̠׿l [%I˹ UϿ* <%Th\Dd\h(0g)ׇa A, 1+TJ6iVJ 3I/&E+}}8Ȱ5g΁=ؾ_Qr{=su$s/MXXW^/źXHȋxɭ_WA>_yY_&~{924Ͷ1BG6-\~Қ8y$zFb[QW?^[Nɛ~ТWy^gfTjimFwO~~>#Nbac5"PJ`-YZrm7Mzq6_z\ʗk?{>F,'%Uh3xd~~lWSNMW.e3jŕ=$p9J)ZJ{uT)Yq*svɾ*+k={s֦U56"I=5ӗGyGc|IENDB`Dd(PV  3 C"((((Dd(PV  3 C"((((xDText113xDText113xDText113xDText113xDText113xDText113xDText113xDText113xDText113xDText113Dd(PV  3 C"((((vDeCheck30vDeCheck30xDText113vDeCheck30vDeCheck30vDeCheck30xDText113vDeCheck30Dd(PV  3 C"(((($$Ifl!vh#v#v#v#v4:V l065554/ 4alytok}xDText130xDText132xDText133$$Ifl!vh#v#v#v#v4:V l065554/ / / 4alytok}xDText130xDText132xDText133$$Ifl!vh#v#v#v#v4:V l065554/ / / 4alytok}xDText130xDText132xDText133$$Ifl!vh#v#v#v#v4:V l065554/ / / 4alytok}xDText134xDText136xDText137$$Ifl!vh#v#v#v#v4:V l065554/ / / 4alytok}xDText138xDText142xDText140$$Ifl!vh#v#v#v#v4:V l065554/ 4alytok}Dd(PV  3 C"((((xDText113xDText113xDText113x2&6FVfv2(&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH TT  Heading 1$$@&a$5;CJOJQJ\^JJJ  Heading 2$@&5CJOJQJ\^JDA D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List 4@4 Header  !4 @4 Footer  !6U`6 /! Hyperlink >*B*phcRv!!R /!0Unresolved MentionB*ph`^\q PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vj\{cp/IDg6wZ0s=Dĵw %;r,qlEآyDQ"Q,=c8B,!gxMD&铁M./SAe^QשF½|SˌDإbj|E7C<bʼNpr8fnߧFrI.{1fVԅ$21(t}kJV1/ ÚQL×07#]fVIhcMZ6/Hߏ bW`Gv Ts'BCt!LQ#JxݴyJ] C:= ċ(tRQ;^e1/-/A_Y)^6(p[_&N}njzb\->;nVb*.7p]M|MMM# ud9c47=iV7̪~㦓ødfÕ 5j z'^9J{rJЃ3Ax| FU9…i3Q/B)LʾRPx)04N O'> agYeHj*kblC=hPW!alfpX OAXl:XVZbr Zy4Sw3?WӊhPxzSq]y !  ! ^   X f:>>n?"A$BCF $&(*+-ht>>?6BFF %'),.*6<KW]myZfl 8Hur $  &28:FLO[aiu{}  % + p | ! XFtFtFtFtFtFtFtFtFtFtG$G$FtG$G$G$FtG$FtFtFtFtFtFtFtFtFtFtFtFtFtFtFtFtFtFt@  @H 0(   (  V   #  "? B S  ? !   tText113Text132Text133Text136Text137Text142Text140j~" |"  "   " *=IIK^a7@Zmn '(noNNVVff   %&9:MNbchi|}  , - - p 6 L M M   " *=IIK^a7@Zmn '(noNNVVff    %&9:MNObchi|}  , - - p 6 L    " ,+jJae'-p1(t4dM9)@ID*(FyLc:]x^o`tkpFe}ok}Lx~VRvr/!^ R $8Y]rnjD Aa4 @X! @ >UnknownG.[x Times New Roman5Symbol3. .[x ArialC.,.{$ Calibri Light7..{$ CalibriA$BCambria Math"h".볨F !@@r0  3Q@P?x~2!xx8y ECD Allowance Request FormUniversity of Montana Guiditta, Ann Oh+'0 4@ ` l x ECD Allowance Request Formϻ Normal.dotmGuiditta, Ann6Microsoft Office Word@H'@J3@8@9 ՜.+,D՜.+,\ hp  Human Resource Services  ECD Allowance Request Form Title 8@ _PID_HLINKSAlk mailto:AskHR@mso.umt.edu  !"#$%&'()*+,-./123456789:;<=>?@ABCDEFGHIJKLMOPQRSTUVWXYZ[\]^_`abcefghijkmnopqrsvRoot Entry F 9xData 0=;1TableN+WordDocument8^SummaryInformation(dDocumentSummaryInformation8lCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q