Telecommute Agreement Sample Contracts

This flexible work arrangement agreement is established between DHS and
Telecommute 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.

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Telecommute Agreement
Telecommute 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:

Contract
Telecommute 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

SAMPLE
Telecommute 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 It can be withdrawn with (number) days written notice by either party.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:

EMPLOYEE INFORMATION
Telecommute Agreement • July 28th, 2022

This telecommutearrangement is: ❑ Regular/Recurring OR ❑ Occasional/Temporary/Flexible This agreement will run from: From: To:OR❑ Ongoing until further notice Telecommute work days/hours: Onsite work days/hours: If other, please specify: Work to be accomplished remotely How will areas be supervised/overseen How will employees be supported

COUNTY OF GLENN EMPLOYEE TELECOMMUTE AGREEMENT
Telecommute Agreement • August 27th, 2020

Maintain a comprehensive written work log of assignments Meet weekly with supervisor to review work progress Submit completed work to supervisor timely

TELECOMMUTE AGREEMENT
Telecommute 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”.

TELECOMMUTE AGREEMENT
Telecommute 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.

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