Flexibility:  Remote Work - Agreement

Click Here to open and save a Microsoft Word Document of the following agreement.

(To be completed by employee and manager if the proposal to implement a flextime schedule is approved. A copy of the approved Proposal Form must be attached to this agreement.)

I, (insert name) __________________________understand and accept the following provisions regarding my remote work arrangement with Our Company:


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Work Arrangement
As a remote worker, I will be performing all of my work from a non-Company location. While I may, from time to time, work at a regular Company facility, I will not have an assigned, dedicated workspace or telephone there.
The scheduled days and hours I will work off site are specified in my Flexible Proposal Form (attached). Unless I have entered into a part-time or job sharing arrangement, the total number of hours I work is not expected to change as a result of the remote work arrangement.  These may include certain "core hours" during which I will make myself accessible by telephone or e-mail. .
Business needs-including travel, trainings, meetings, etc.-may require me to adjust my schedule or work at Our Company office on days when I would normally work off-site, and I am willing to do so.
I understand that my participation in this remote work arrangement is  not  a contract, term, benefit, or condition  of employment and should not be construed as such.  The arrangement may be revoked or modified by Our Company at any time.
I understand that I remain an at-will employee and that this agreement does not limit Our Company’s or my right to terminate my employment at any time, with or without cause, and with or without notice.
If I transfer, am promoted, or otherwise move to another position, this remote work arrangement will be subject to automatic review and possible modification or revocation
The general policies and procedures of Our Company will continue to apply in this new arrangement.
I will continue to be responsible for providing truthful and accurate information required for Our Company's attendance and timekeeping processes.

Compensation and Benefits
My compensation and benefits will not change because I work off-site.
I will sometimes be expected to work overtime off-site, just as I would if I were working on-site. If I am eligible for overtime pay, my manager must authorize my overtime in advance. Any overtime will be paid in accordance with the law and/or Our Company's overtime policy.

Computer Equipment and Software
I will work with my manager to determine the equipment and software necessary for me to perform my job effectively from another location.
Our Company will assume the costs of providing, and will maintain ownership of this equipment and software.
I will not duplicate company-owned software except as formally authorized.
I will take reasonable care to protect the equipment from theft, damage or misuse.
I must return all equipment and software when the remote work arrangement ends or when I leave the company. If I refuse to return any Our Company materials, the company may take whatever legal action is necessary to regain its property, data, or supplies.

Technical Support
Our Company will provide technical support only for computer equipment, services and software that it provides and accepts no responsibility for damage or repairs to any equipment I own.
I understand that this support is available  by phone and that technicians will not be dispatched to my home office.
If equipment failure prevents productive work for more than one day I may be required to work on-site until repairs are completed, unless loaner equipment is available.

Furniture, Office Supplies and Travel Expenses
Our Company will provide me with an ergonomically suitable chair and general office supplies. If additional supplies are needed, my manager must approve these expenses.
I will provide and maintain an ergonomically suitable desk and lights, grounded electrical outlets, smoke detectors and a fire extinguisher. I will not be reimbursed for these expenses.
I am responsible for any home expenses, such as utility bills, and expenses related to building or remodeling my work space.
Our Company will not reimburse me for travel expenses other than those normally covered under existing company policy.

Telephone/Connectivity
I will work with my manager to determine the number of additional telephone lines needed to conduct business effectively from my home office.
Our Company will pay for installation and monthly fees on these additional business-related telephone lines
I am responsible for ordering these additional phone lines and services.
I will submit a reimbursement request for business-related use of my home telephone lines.

Insurance
I understand that Our Company's property insurance does not extend to my home, and that I am required to contact my homeowner's or renter's insurance carrier to determine the extent to which my policy covers the equipment.
I will register my remote work equipment with my insurance carrier or, if necessary, purchase an additional rider to my existing policy.  I will provide proof of such insurance to Our Company.

Data Security and Proprietary Information
I will take all precautions necessary to protect and hold secure confidential and proprietary information.
I will continue to comply with all company policies with respect to use of company systems, confidential and proprietary information and inventions, data security and records management and retention.

Safety and Liability
I will designate adequate and separate work space in my home and keep that space in safe, hazard-free condition. Company-provided equipment will be connected to a properly grounded electrical outlet and all wires will be kept out of walkways.
I understand that with at least 24 hours advance notice, an authorized representative of Our Company may visit my home office to monitor my compliance with Our Company's regulations including safety, security, and confidentiality regulations, or to inspect or retrieve data, Our Company equipment, or similar material.
Since my home office is an extension of Our Company's workspace, the company continues to be liable under its Workers Compensation insurance plan for work-related accidents or injuries which take place during my approved work schedule and in my designated work area.
I understand that this coverage does not extend to family members, visitors and others in my home, even if the injury/accident occurs in my home office.
I further understand that, because of liability concerns, I will not hold business meetings in my home. Necessary meetings will be held in a nearby restaurant or other public facility or onsite in Our Company's offices.
In the event of a work-related injury or accident I will follow the same reporting/documentation procedures required for those occurring at Our Company's work site.

Tax Issues
I understand that it is my responsibility to assess tax implications related to my home office and that Our Company does not offer guidance on tax issues. If I have any questions regarding tax implications I am encouraged to consult with a qualified professional.

Dependent Care
I must ensure that my home office environment allows me to meet my job responsibilities in the same professional manner as when I am on site. To that end, I am responsible for maintaining appropriate childcare or eldercare arrangements, if applicable, and for establishing work practices that make the remote work arrangement transparent in my business dealings. I understand that remote work is not to be used as a substitute for regular dependent care.


Work Setup


The location of my off-site work location is:

Address:_______________________________________________________________

Description of workspace at off-site work location:
______________________________________________________________________

Remote work phone number: ____________________

Start Date: The remote work arrangement will commence _______________________

A trial period will commence on the start date shown above.  My manager and I will review the arrangement in 30, 60, and 90 days.  At the end of 90 days, my manager and I will continue to monitor my performance in accordance with Our Company’s performance management system.

Attachments:

Copy of Flexible Work Arrangements Proposal Form
Copy of current homeowner or renter insurance policy covering equipment in remote worker's residence

The equipment and software being provided to me include:

Description of Item                                                     ID Number

_________________________________________     __________________________

_________________________________________     __________________________

_________________________________________     __________________________

_________________________________________     __________________________

_________________________________________     __________________________

Other provisions:

_____________________________________________________________________

_____________________________________________________________________

I have read and accept the terms of this agreement. I also have read and accept the terms of Our Company's remote work guidelines. I acknowledge that legally Our Company may terminate or modify a remote work arrangement at any time for any reason. Remote work arrangements are not and will not be construed as a contract of employment. Our Company's employment relationships are "at will," meaning that I am free to resign at any time for whatever reason and the company may terminate the employment relationship at any time, with or without cause.

My signature below indicates that I have read, understand, and agree to the above.  I also have read, understand, and agree to Our Company’s Remote Work Guidelines.

_____________________________________________________________________
Remote Worker's Name (please print)                    Signature                     Date

I have reviewed this agreement with this employee and witnessed the employee's signature.

______________________________________________________________________
Manager's Name (please print)                               Signature                    Date

 


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