Standard Telework Agreement Cover Sheet & Justification StatementFebruary 3rd, 2022
FiledFebruary 3rd, 2022PS ID#: Position Number: Last Name: First Name: # of Telework Days per week: If the number of telework days per week is 2 or more, please provide the reason(s) for requesting telework: Supervisor Signature Date Vice President Signature Date Human Resources Signature Date