Printable Contracts

   Telecommuting Agreement Form

    

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Telecommuting Agreement

Employee Name: ______________________________

Company Name: ______________________________

Employee ID #: ______________________________

Department: ______________________________

SSN: ______________________________

Supervisor Name: ______________________________

Start Date: _______________ End Date: _______________


Terms

Employee's Remote Work Location: ______________________________

Work Space Entails: ______________________________

Equipment Needed: ______________________________

Paid for By: ______________________________


Schedule

Telecommuting Days: Monday Tuesday Wednesday Thursday Friday

Telecommuting Hours: Start: _______________ End: _______________

Break Times: ______________________________

Total Amount of Time: ______________________________

In-Office Days: Monday Tuesday Wednesday Thursday Friday

In-Office Hours: Start: _______________ End: _______________

I have read and understand the telecommuting agreement policy for the aforementioned company. I agree to abide by the terms and conditions outlined in those documents. I understand that this contract may be terminated at any time.


Employee Signature: ______________________________

Date: ______________________________

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