SAMPLE TELECOMMUTING AGREEMENTNovember 10th, 2009
FiledNovember 10th, 2009Employee Name: Date of Request: Telecommuting Agreement Begins: Date of Telecommuting Agreement Review: Justification for this agreement:The reason for this agreement is:Opportunity for improved employee performance Agency savingsWork necessity Reduced commuting milesOther Work Schedule:Employee will telecommute on the following days and hours. Normal work hours are to remain the same while telecommuting. Discuss anticipated overtime and seek prior supervisory approval. Day: Monday Tuesday Wednesday Thursday Friday Hours (start/finish): Alternate Worksite:Generally, the agency does not reimburse the employee for travel between the alternate worksite and the central worksite. Indicate type and address of alternate worksite: Home:Satellite/Other: Indicate alternate worksite telephone numbers: Home telephone:Cell: Indicate features you will use while telecommuting: Call Forwarding Receptionist assistanceVoice Mail Co-worker assistance How will incoming calls be handled? How will