This is an agreement between a company and an employee that wishes to
telecommute. Telecommuting is defined as work and transportation alternatives that
substitute home-to-work commuting with the option of working at home or at satellite
work locations for all or part of the employee's assignment. This agreement specifies
the duties and obligations of both the employee and the company. This agreement can
be used by small businesses or other entities that want to allow their employees to
telecommute from home or satellite work locations.
This Agreement, made effective the day of______ [Month] ____ [Date], 20__ [Year] by and between
______________________________ [Instruction: Insert the name of the employer] hereinafter
referred to as the “Employer”, having its principle place of business at ___________________________
[Instruction: Insert the address of the employer], and ___________________ [Instruction: Insert the
name of the employee] hereinafter referred to as the “Employee”, having his principle place of business
at ___________________________ [Instruction: Insert the address of the employee], establishes the
respective obligations of the parties under Employer’s Telecommuting program. Employee has
volunteered to work as a "Telecommuter" at a location other than the designated headquarters.
Terms and Conditions. The Telecommuting Agreement is subject to the following terms and conditions:
1. Work Location.
a. The terms "remote work location" or "remote workplace" shall mean Employee's home or any
satellite office location approved by the Employer. The term "designated headquarter" shall mean
Employer's usual and customary Employer work address. The remote work location is at
_______________________________________________ [Instruction: Insert the address of
the remote work location]. Days and hours when the employee will normally work at this
remote work location are Monday through Friday, however the Employer can at any time revise
this timing as per requirements and discretion.
b. Employee will work at the designated headquarters __ times [Instruction: Insert the number of
days employee will work in a week e.g., 5] per week, for a period of ____ to ◊ ____ hours
[Instruction: Insert number of hours expected to be on work by employee] each day. The
actual days, time, and amount of time spent by employee will depend on workload and tasks, staff
meetings (formal and informal), and availability of any required equipment.
c. Employee will work either at remote work location or at the designated headquarters for a
minimum of __________ hours [Instruction: Insert minimum number of hours for a week]
per week during the specified hours.
2. Compensation. Employer shall validate Employee's time and work accomplished at the remote
workplace. Schedule changes may be made at the Employer's discretion. In every case, the
operational needs of the Employer shall take precedence over telecommuting. Compensatory time
must be approved in advance in accordance with the Employer’s policy. Work hours, overtime
compensation, and vacation schedules shall conform to existing policies and procedures and the terms
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of this Agreement. Employee's salary, retirement, benefits, and state-sponsored insurance plans
3. Pay and attendance. All pay, leave, and travel entitlement will be based on the employee's primary
business location. Employee's time and attendance will be recorded as performing official duties at
the primary business location.
4. Leave. Employee must obtain approval before taking leave in accordance with established office
procedures. By signing this form, employee agrees to follow established procedures for requesting
and obtaining approval of leave.
5. Overtime. The employee will continue to work in pay status while working at the remote work
location. An employee who works overtime that has been ordered and approved in advance will be
compensated in accordance with applicable law and rules. By signing this agreement, the employee
agrees that failing to obtain proper approval for overtime work may result in removal from the
telecommuting program or other appropriate action.
6. Safety & Equipment/Information Security.
a. Employee agrees to maintain a work environment that is ergonomically sound, clean, safe,
and free of obstructions and hazardous situations.
b. Employee agrees to use Employer owned equipment, records, and materials for purposes of
Employer business only, and to protect them against personal, unauthorized, or accidental
access, use, modification, destruction, or disclosure.
c. Employee agrees to allow electronic and/or physical access to the remote work location for
purposes of assessing safety and security methods, as well as job performance.
d. Employee shall be held responsible for official documents and shall be subject to disciplinary
action for any loss of these documents that is attributable to Employee's actions.
e. Employee shall comply with all applicable laws, agreements, policies, and instructions
regarding conflicts of interest and confidentiality.
f. Employee shall participate in all before, during, and after telecommuting surveys, legislative
inquires, reports, or analyses relating to telecommuting for the Employer.
g. Employee shall comply with all Employer rules, policies, practices, instructions,
telecommuting guidelines, and this Agreement. Employee understands that violation of such
may result in cancellation of this Agreement and/or disciplinary action, up to and including
termination of employment.
7. Termination of Agreement.
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a. This Agreement shall remain in effect for ___________ (___) months [Instruction: Insert
number of months] unless terminated by either party under the terms set forth in this
b. This is a voluntary program. The Employer reserves the right to terminate the agreement at
any time for any individual Employee or as a program (with ___________ (◊ ___)
[Instruction: Insert number of days to give a notice of termination] working days' notice)
if the Telecommuting Program is cancelled, or if the Employer’s needs are no longer being
c. In cases of termination for cause, this Agreement may be terminated without prior notice,
according to the policy and procedures set forth in the Counseling and Disciplinary Action
section of the Human Resources Manual.
d. The Employer will not be held responsible for costs, damages, or losses associated with the
termination of this Agreement.
e. Upon termination of this Agreement by either party, Employee shall return to the Employer
all notes, data, reference materials, sketches, drawings, memoranda, reports, records,
equipment, supplies, and all other Employer documents in Employee's possession or control.
The Employee understands that all obligations, responsibilities, terms, and conditions of employment
with the Employer remain unchanged, except those obligations and responsibilities specifically
addressed in this agreement. Furthermore, the Employee agrees to remain accessible during