Worksheet_Telecommuting

Company Letterhead

{{company_name}} {{company_address}} Phone: {{phone}} Email: {{email}} Website: {{website}}

Employee Information

Employee Name: {{employee_name}}

Employee ID: {{employee_id}}

Department: {{department}}

Job Title: {{job_title}}

Manager Name: {{manager_name}}

Telecommuting Schedule

Proposed Telecommuting Days: {{days_of_week}}

Start Date: {{start_date}}

End Date (if applicable): {{end_date}}

Regular Work Hours: From {{start_time}} to {{end_time}}

Work Location and Environment

Primary Telecommuting Location: {{street_address}}, {{city}}, {{province_state}}, {{postal_code}}, {{country}}

Description of workspace suitability (e.g., quiet, safe, free from distractions): {{workspace_description}}

Employee confirms they have a suitable and safe work environment conducive to productivity.

Equipment and Technology

Company-provided equipment: {{company_equipment_list}}

Employee-provided equipment: {{employee_equipment_list}}

Internet Service Provider (ISP): {{isp_name}}

Internet Speed (download/upload): {{internet_speed}} Mbps

Employee is responsible for maintaining a reliable internet connection and ensuring the security of all company data accessed remotely.

Communication and Availability

Expected communication methods: {{communication_methods}} (e.g., email, instant messaging, video conferencing)

Expected response time for urgent communications: {{urgent_response_time}}

Expected response time for non-urgent communications: {{non_urgent_response_time}}

Employee agrees to be available during scheduled work hours and to communicate any deviations promptly.

Performance and Productivity

Key performance indicators (KPIs) for remote work: {{kpis_for_remote_work}}

Reporting frequency for remote work progress: {{reporting_frequency}}

Manager and employee will regularly review performance and address any challenges or concerns related to telecommuting.

Security and Confidentiality

Employee understanding of data security protocols: {{security_protocols_acknowledgement_initials}} (initial)

Employee commitment to protecting company confidential information: {{confidentiality_commitment_initials}} (initial)

All company data must be handled in accordance with the company's data protection and security policies.

Terms and Conditions

This telecommuting arrangement is voluntary and may be modified or terminated by either party with {{notice_period}} days' notice.

The terms of the employee's original employment contract remain in full force and effect.

The company reserves the right to require in-office presence for specific meetings, training, or operational needs.

Signatures

Employee Signature: _________________________ Date: {{employee_signature_date}}

Employee Printed Name: {{employee_printed_name}}

Manager Signature: _________________________ Date: {{manager_signature_date}}

Manager Printed Name: {{manager_printed_name}}

HR Representative Signature: __________________ Date: {{hr_signature_date}}

HR Representative Printed Name: {{hr_printed_name}}