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Remote Work Agreement
Click Here to download a
Microsoft Word Document of the following agreement.
(To be completed by employee and manager if a proposal to work
remotely is accepted. A copy of the approved FWA 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
FWA Proposal Form (attached). These may include
certain "core hours" during which I will make myself
accessible by telephone or e-mail. The total number of hours I work is
not expected to change as a result of the remote work arrangement.
My remote work arrangement will not be construed as a contract of
employment and Our Company may legally modify or terminate this
arrangement at any time for any reason.
If I transfer or am promoted to another position, this remote work
arrangement will be subject to automatic review.
The general policies and procedures of the organization will prevail
in this new arrangement
I will be responsible for providing information required for Our
Company's attendance and timekeeping processes. If I am a non-exempt
employee, I will be required to email my hours to my manager on a weekly
basis.
Compensation and Benefits
My compensation and benefits will not change because I work off-site.
I will sometimes be expected to work overtime at my home office, 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 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. In the event that a theft should occur despite my
having taken reasonable security precautions, Our Company will replace
the equipment.
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 for computer equipment
and software that it provides only and accepts no responsibility for
damage or repairs to any equipment I own.
I understand that this support is available only by phone and that
technicians will not be dispatched to my home office. I may, if
authorized, have my equipment repaired by a Company-selected vendor near
my home office.
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. Our Company will reimburse me up to $XXX for these
expenses, not including the chair.
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 telephone
lines needed to conduct business effectively from my home office.
Our Company will pay for installation and monthly fees on these
business-related telephone lines.
If I purchase a telephone for my home office, Our Company will
reimburse me up to $XXX for this expense.
I am responsible for ordering these 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 to what extent 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
proprietary information and will comply with company policies regarding
data security.
I will regularly use the company-provided anti-virus software and
will not install non-company provided or supported software on
company-provided equipment.
I agree to follow Our Company's standard policy regarding securing
and disposing of confidential information.
I will not use company-provided equipment for personal use and will
prevent unauthorized access to Our Company data by individuals who are
not company employees (spouse, children, visitors, etc.).
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 make annual on-site visits
to my home office during regular business hours 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.
Workers' Compensation/Liability
I understand that Our Company has the same interest in my health and
safety at my home office as it does when I work at Our Company's work
site.
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.
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.
Training
Telecommuters and managers are required to participate in a
Company-sponsored training program before a remote work arrangement
begins.
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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
_______________________
Trial period: A trial period will commence on the start date shown above
and my manager and I will review the arrangement in approximately _____
days.
Attachments:
Copy of FWA Proposal Form
Copy of current homeowner or renter
insurance policy covering telecommuter'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.
_____________________________________________________________________
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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