Employee Telephone Number Sample Clauses

Employee Telephone Number. (where employee can be reached during remote hours) Supervisors and employees must review the following prior to entering into a Hybrid agreement: ⎦ How calls received for employee while the employee is working remotely will be handled. ⎦ Development of a plan on how work assignments will be performed at the remote worksite. ⎦ Review job performance standards and expectations of how they are to be maintained while employee is working remotely. ⎦ Discuss how the employee’s performance will be assessed and the frequency of assessment. ⎦ Set expectation on how the employee and supervisor will communicate. ⎦ Develop a plan and set expectation for how communication with others at the University will be handled. ⎦ If University-owned equipment fails at the remote site, review the expectation that the employee returns to FSU on-site work location during any down time. ⎦ Describe records/files the employee is allowed to keep at the remote site. Develop plan and set expectation regarding measures that will be in place to maintain security of documents/data. ⎦ Ensure a clear understanding of the Hybrid Work Agreement Interim Guidelines. Hybrid Resources Checklist Equipment/Furniture/Supplies Provided by Employee Provided by Xxxxxx State Insured by Employee Insured by Xxxxxx State Cell phone N/A N/A Cell phone options (email, internet access, etc.) N/A N/A Internet N/A N/A N/A Laptop NA Other: please describe: Applicable Terms

Employee Telephone Number. (where employee can be reached during remote hours) Agreement By signing this agreement, I state that I have read and understand the Remote Work Agreement and the COVID-19 Remote Work Policy, and agree to the terms and conditions set forth by both documents. I believe that my work can be completed within the above schedule and location with no loss of customer service or disruption to others in my department, the University, or external customers. I understand that it is my responsibility to make my remote arrangement a success. My supervisor may terminate or modify the arrangement at any time. I agree with the conditions for use of Lake Superior State University equipment, furniture, and/or data and the nature of the equipment, and supplies. Employee Signature Date Employee Name (printed/typed) Supervisor Signature Date

Employee Telephone Number. Employee Identification Number Effective Start Month: (This month must be after the submission month. For example: to start in February this form must be submitted by January 31st.) Select the Appropriate Agreement Type Below: Change/Replace a Previous Salary Reduction Agreement Start a Very First Salary Reduction Agreement Cancel an Existing Salary Reduction Agreement

Employee Telephone Number. Employee Identification Number Effective Start Month: (This month must be after the submission month. For example: to start in February this form must be submitted by January 31st.) Select the Appropriate Agreement Type Below: Change/Replace a Previous Salary Reduction Agreement Start a Very First Salary Reduction Agreement Cancel an Existing Salary Reduction Agreement Distribution Among Vendors (This form may be used for Empower or Symetra 457(b) Account ONLY) . *Note As of 2/1/2017, Symetra is no longer opening new 457(b) so only changes or cancelations are allowed. If you wish to defer to an Oregon Saving Growth Plan (OSGP) 457(b) account please visit the OSGP website and complete their enrollment form.) Note: Please attach documentation of an established Vendor account when you submit this agreement. Vendor Name Account Number Amount of Reduction Per Pay Period 3 Total Employee Certification and Signature I certify that I have read this complete agreement, including the terms on the back of this form, and understand my responsibilities as an Employee under this program. I request that the Employer take the actions specified in this agreement. I understand that details of my participation in this Program are contained in Plan Document and that Vendor Agreement documents must accompany the submission.

Employee Telephone Number. Employee Identification Number Effective Start Month: (This month must be after the submission month. For example: to start in Febuary this form must be submitted by January 31st.) Select the Appropriate Agreement Type Below: Replace a Previous Salary Reduction Agreement with the District Start a Very First Salary Reduction Agreement with the District Cancel an Existing Salary Reduction Agreement Distribution Among Vendors: Note: If selecting a new Vendor, you must provide documentation of an established Vendor account. Vendor Name Account Number Amount of Reduction Per Pay Period 2 3 Total $0.00 Employee Certification and Signature‌‌ I certify that I have read this complete agreement, including the terms on the back of this form, and understand my responsibilities as an Employee under this program. I request that the District take the actions specified in this agreement. I understand that details of my participation in this Program are contained in Plan Document and that Vendor Agreement documents must accompany the submission.

Employee Telephone Number. Employee Identification Number Select the Appropriate Agreement Type Below: Replace/Override a Previous Salary Reduction Agreement with the District Initiate/Start a Very First Salary Reduction Agreement with the District Discontinue/Cancel an Existing Salary Reduction Agreement Note: If selecting a new Vendor from the authorized vendor list, you must provide documentation of an established Vendor account with that vendor. District Paid Contributions By entering a vendor name below in this box and signing this agreement, Employee understands that the appropriate District Paid contribution will be remitted to the Vendor specified. The District understands that it will contribute the appropriate District Paid contribution to the Vendor specified below in this box. Vendor Name from the complete list of Authorized Vendors for the District 403(b) Program Voluntary Contribution Optionally, Employee MAY elect to contribute amounts in addition to the appropriate District Paid contribution (voluntary contributions are NOT required). Such contributions may be made to one, or at most two, Vendors chosen from the full list of Authorized Vendors for the District 403(b) TSA Program, as specified below: Vendor Name (Choose from full list of Authorized Vendors) Contribution per Pay Period 1 $ 2 $ Total $ Employee Certification and Signature‌‌ I certify that I have read this complete agreement, including the terms on the second page of this form, and understand my responsibilities as an Employee under this program. I request that the District take the actions specified in this agreement. I understand that all rights under the annuities or custodial accounts established by me under this TSA Program are enforceable solely by my beneficiaries, my authorized representative, or me.