Short-Term Telecommuting Agreement

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Employee Information

Name: ____________________________________ Hire date: __________

Job title: _____________________________________________________

Department: ___ _____________________________________________

FLSA status:      Exempt        Nonexempt

This temporary telecommuting agreement will begin and end on the following dates:

Start date: _______________            End date: _______________

Temporary work location: ________________________________________________

Employee schedule: _____________________________________________________

The employee agrees to the following conditions:

• The employee will remain accessible and productive during scheduled work hours.
• Nonexempt employees will record all hours worked and meal periods taken in accordance with regular timekeeping practices.
• Nonexempt employees will obtain supervisor approval prior to working unscheduled overtime hours.
• The employee will report to the employer's work location as necessary upon directive from his or her supervisor.
• The employee will communicate regularly with his or her supervisor and co-workers, which  includes a weekly written report of activities.
• The employee will comply with all [Company name] rules, policies, practices and instructions that would apply if the employee were working at the employer's work location.
• The employee will maintain satisfactory performance standards.
• The employee will make arrangements for regular dependent care and understands that telecommuting is not a substitute for dependent care. In pandemic circumstances, exceptions may be made for employees with caregiving responsibilities.
• The employee will maintain a safe and secure work environment at all times.
• The employee will allow the employer to have access to the telecommuting location for purposes of assessing safety and security, upon reasonable notice by the company.
• The employee will report work-related injuries to his or her manager as soon as practicable.

[Company name] will provide the following equipment: __________________________

______________________________________________________________________

The employee will provide the following equipment: ____________________________

______________________________________________________________________

The employee agrees that [Company name] equipment will not be used by anyone other than the employee and only for business-related work. The employee will not make any changes to security or administrative settings on [Company name] equipment. The employee understands that all tools and resources provided by the company shall remain the property of the company at all times.

The employee agrees to protect company tools and resources from theft or damage and to report theft or damage to his or her manager immediately.

The employee agrees to comply with [Company name]'s policies and expectations regarding information security. The employee will be expected to ensure the protection of proprietary company and customer information accessible from their home offices.

[Company name] will reimburse employee for the following expenses: ________________________________________________________________

Employee will submit expense reports with attached receipts in accordance with [Company name]'s expense reimbursement policy.

• The employee understands that all terms and conditions of employment with the company remain unchanged, except those specifically addressed in this agreement.
• The employee understands that management retains the right to modify this agreement on a temporary or permanent basis for any reason at any time.
• The employee agrees to return company equipment and documents within five days of termination of employment.
  

Employee signature: ______________________________  Date: ____________________

Manager signature: _______________________________  Date:______________________

Human resources signature: ________________________ Date: ______________________