This flexible work arrangement agreement is established between DHS andTelecommute Agreement • March 18th, 2020
This agreement is subject to the employee satisfying the following conditions on a continuing basis: The employee shall perform all job duties at a satisfactory performance level.
STAFF TELECOMMUTE (REMOTE WORK) AGREEMENT FORM 2022Telecommute Agreement • January 19th, 2022
Signing this form indicates that the requestor is allowed to work remotely for a time specified and failure to work as scheduled is considered misuse of University funds. Employees and supervisors are subject to audit regarding time worked, and any employee/supervisor may be subject to disciplinary actions for neglect of duties in job performance. Telecommuting should not be a means for childcare or other personal life situations.
Telecommute Agreement for Classified ProfessionalsTelecommute Agreement • August 18th, 2022
This telecommutearrangement is: ❑ Regular/Recurring OR ❑ Occasional/Temporary This agreement will run from: From: To:OR❑ Ongoing until further notice Telecommute workdays/hours: Onsite work days/hours: If other, please specify:
COUNTY OF GLENN EMPLOYEE TELECOMMUTE AGREEMENTTelecommute Agreement • May 16th, 2022
Maintain a comprehensive written work log of assignments Meet weekly with supervisor to review work progress Submit completed work to supervisor timely
City of Oakland Telecommute Agreement and ApplicationTelecommute Agreement • March 13th, 2020
CITY AND COUNTY OF SAN FRANCISCO TELECOMMUTING POLICY AND PROGRAM TELECOMMUTE APPLICATION AND AGREEMENT FORMTelecommute Agreement • February 1st, 2024
This is a model form for the Telecommuting Policy and Program provided by the Department of Human Resources. Departments may use this form, modify it to meet their needs, or approve telecommute agreements another way.
City of Oakland Telecommute Agreement and ApplicationTelecommute Agreement • March 13th, 2020
Telecommuting FormsTelecommute Agreement • August 14th, 2012
The vice president, director/dean/manager, supervisor and the Telecommuter have read and understand the Allan Hancock College Telecommute Policy and Procedures. All parties understand that this Telecommute Agreement may be terminated by the division vice president or the Telecommuter as indicated in this policy and associated procedures. The supervisor and the Telecommuter have read, understand, completed, and signed the "Supervisor's Checklist," prior to participation in the Telecommute program and further agree to the following:
TELECOMMUTE APPLICATION AND AGREEMENT FORMTelecommute Agreement • March 16th, 2020
This form is required to be completed by the employee and manager and approved by the Department Head or designee prior to beginning a remote work arrangement.
Telecommute AgreementTelecommute Agreement • August 18th, 2022
This telecommutearrangement is: ❑ Regular/Recurring OR ❑ Occasional/Temporary This agreement will run from: From: To:OR❑ Ongoing until further notice Telecommute workdays/hours: Onsite work days/hours: If other, please specify:
CITY AND COUNTY OF SAN FRANCISCO TELECOMMUTING POLICY AND PROGRAM TELECOMMUTE APPLICATION AND AGREEMENT FORMTelecommute Agreement • February 8th, 2017
This is a model form for the Telecommuting Policy and Program provided by the Department of Human Resources. Departments may use this form, modify it to meet their needs, or approve telecommute agreements another way.
Telecommute Agreement FormTelecommute Agreement • June 14th, 2021
The Port’s Telecommute policy is aligned with the Department of Human Resources’ policy. Upon the City’s return to work, the policy will allow employees to telecommute up to three days with approval of their manager and Deputy Director. Program materials are posted online at sfdhr.org/telecommute. Employees who have been approved to telecommute must complete the online survey. Telecommuting is an option, not the standard and will be considered based on the needs of the business and employee’s ability to effectively work from home.
State/Dept/Company)Telecommute Agreement • April 12th, 2021
CITY OF SPOKANE | TELECOMMUTE AGREEMENTTelecommute Agreement • June 27th, 2024
This document is intended to ensure that both the supervisor/manager and the employee have a clear, shared understanding of the employee’s telework arrangement. Each telework arrangement is unique depending on the needs of the position, department, manager, and employee. In defining a telework arrangement, the employee and their manager are expected to evaluate the costs and benefits of telework, identify work expectations, and clearly communicate how performance expectations will be met.
ContractTelecommute Agreement • March 31st, 2020
City of Bakersfield TELECOMMUTE AGREEMENT PART A. EMPLOYEE INFORMATION: To be completed by employee Employee (Print name): _ Date: _ Position: Dept./Div.: Direct Supervisor: _ Current Address/City/Zip: Phone Number*: _ Email Address*: (*Will be used for Telecommute purposes) PART B. TELECOMMUTE DETAILS AND REQUIREMENTS: To be completed by employee and supervisor or manager – fill out all information that applies. Use back of form or additional pages as needed. A) Work Periods/Schedule:Work availability will be between the hours of am/pm and _ am/pm; or Flexible hours as stated below: Work assignments will be conducted Monday through Friday, unless otherwise specified below: Any changes to schedule must be made and approved in advance, including overtime or use of paid-time-off. B) EquipmentThe following city equipment will be used at an alternate worksite: _ I may use the following personal equipment for work assignments: C) General Job Tasks and Deadlines (use additional pages i
Telecommute Application and Agreement FormTelecommute Agreement • March 23rd, 2020
This form is required to be completed by the employee and discussed with their manager. Approval signatures are required by the manager and by the employee’s Department Head or designee prior to beginning a remote work arrangement.
FACULTY TELECOMMUTE (REMOTE WORK) AGREEMENT FORM – SPRING 2021Telecommute Agreement • January 26th, 2021
Signing this form indicates that the requestor is allowed to work remotely for a time specified and failure to work as scheduled is considered misuse of State funds. Employees and supervisors are subject to audit regarding time worked, and any employee/supervisor may be subject to disciplinary actions for neglect of duties in job performance. Telecommuting should not be a means for childcare or other personal life situations.
SAMPLETelecommute Agreement • August 20th, 2021
This agreement specifies the conditions applicable to an arrangement for performing work at an alternate work site on a regular basis. The telecommuting agreement begins on (DATE) and will continue until (DATE). It can be withdrawn with (number) days written notice by either party. The employee, supervisor and department head agree that the following apply:
ContractTelecommute Agreement • February 11th, 2004
The Resources Agency State of CaliforniaDEPARTMENT OF FISH AND WILDLIFEClear Form TELECOMMUTE AGREEMENT Print Form NAME ORGANIZATION CLASSIFICATION POSITION NUMBER BARGAINING UNIT OFFICE PHONE NUMBER TYPE OF REQUEST (Check One):The employee will telecommute On a weekly basis as follows: On a monthly basis as follows: Telecommuting Work Hours: First time Request day(s) per week (telecommuting days) to Revision month DESIGNATED DFW WORK LOCATION Phone No. HOME OFFICE LOCATION Phone No. WORK PLANAttach a list of specific work assignments with expected dates of completion. This list will be renewed. weekly monthly quarterly other EQUIPMENT EXPENSESList DFW-owned equipment and software, such as personal computers, modems, fax machines, bookcases,etc., to be used by the employee at the home office. Indicate the property number if applicable. If theequipment is to be purchased by the DFW, indicate the cost.EQUIPMENT COST
TELECOMMUTE APPLICATION AND AGREEMENT FORMTelecommute Agreement • March 16th, 2020
This form is required to be completed by the employee and manager and approved by the Department Head or designee prior to beginning a remote work arrangement.
TELECOMMUTE AGREEMENTTelecommute Agreement • April 14th, 2021
The following constitutes an Agreement on the terms and conditions of telecommuting between: City of Kent (“City”) & , henceforth referred to as “Employee”.
Temporary Telecommute ProceduresTelecommute Agreement • August 27th, 2020
This Telecommuting Agreement (Agreement) is voluntarily entered into between the Los Angeles Community College District (“the District”) and the undersigned telecommuter (“Telecommuter”). It is the intent of this Agreement to, at a minimum, maintain the quantity, quality, and integrity of work product by the District employees, while reducing the climate effects of commuting during this period of social distancing to mitigate the potential spread of COVID-19. This Agreement is also a necessary tool in the event of mandated closure of the District office and District campuses due to any medical, disaster, or other emergencies. It is understood by the parties that the work duties and responsibilities performed in this Agreement are consistent with the duties and responsibilities defined in the Telecommuter’s job duty statement.
TELECOMMUTE AGREEMENTTelecommute Agreement • March 6th, 2020
Instructions: Employee completes this form. Supervisor will work with Human Resources Business Partner to complete Teleworking Matrix. Telecommuting and Teleworking arrangements shall be approved by the Supervisor and Division Administrator prior to implementation.
TELECOMMUTE APPLICATION AND AGREEMENT FORMTelecommute Agreement • August 7th, 2023
Per the City of Alameda’s Telecommute Policy, this Telecommute Application and Agreement form must be completed and approved by the employee’s supervisor and Department Head prior to the employee engaging in a telecommute arrangement. Following the Telecommute Policy, an employee may telecommute on regular and reoccurring or occasional basis, and is subject to the discretion of management. The maximum length of this agreement is one year, a new telecommute application must be filed prior to the expiration of the current agreement or if the employee has changes to their schedule or Designated Alternative Work Location.
