| 
 |  | 
  
    
      
        
         
        Telecommuting Agreement 
         
        Click Here to download a
        Microsoft Word Document of the following agreement. 
         
        (To be completed by employee and manager if a proposal to telecommute is
        accepted. A copy of the approved FWA Proposal Form must be
        attached to this agreement.  Please print out these pages to insert
        information and sign.) 
         
        
        I, __________________________
        (insert
        name) understand and accept the
        following provisions regarding my telecommuting arrangement with Our
        Company:
       | 
     
    
      
         
         
        1. 
         
        2. 
         
         
         
        3. 
         
        4. 
         
         
        5. 
         
        6. 
         
        7. 
        8. 
         
         
         
         
        9. 
        10. 
         
         
         
         
        11. 
         
        12. 
         
        13. 
        14. 
         
         
        15. 
         
         
         
         
        16. 
         
        17. 
         
        18. 
         
         
         
         
         
        19. 
         
        20. 
         
        21. 
         
        22. 
         
         
         
        23. 
         
        24. 
         
        25. 
        26. 
         
         
        27. 
         
         
        28. 
         
        29. 
         
         
        30. 
         
        31. 
         
        32. 
         
        33. 
         
         
         
         
        34. 
         
         
        35. 
         
         
         
         
         
        36. 
         
        37. 
         
         
        38. 
         
        39. 
         
         
        40. 
         
         
         
        41. 
         
         
         
         
        42. 
         
         
         
         
         
         
        43. 
        
       | 
      
         
        Work Arrangement 
        As a telecommuting employee, I will be performing a portion
        of my work from a non-Company location. 
        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 telecommuting arrangement. 
        On days when I am required to work at the office, whether scheduled
        or unscheduled, commuting time to and from the office will not be
        treated as work hours or compensable time. 
        Business needs-including travel, trainings, meetings, etc.-may
        require me to adjust my    telecommuting schedule or work at Our Company
        office on days when I would normally work off-site, and I am willing to
        do so. 
        My telecommuting 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 telecommuting
        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 off-site, 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 telecommuting
        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. 
        If equipment failure prevents productive work for more than one day
        I may be required to work on-site until repairs are completed, unless
        loaner equipment is available. Alternatively, I may choose, with my
        manager's approval, to make up lost productivity later in the day or
        week or to take paid time off. 
         
        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. I will not be reimbursed for these expenses. 
        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. 
        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 telecommuting 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 representatives of Our Company may visit my home office 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 or onsite in Our Company's
        offices. 
        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 telecommuting arrangement transparent in my
        business dealings. I understand that telecommuting 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 telecommuting arrangement
        begins.
       | 
     
    
      
         
         
        Work Setup 
         
        The address of my off-site work location is: 
        _________________________________________________________________________ 
         
        Description of workspace at off-site work location:
        _________________________________________________________________________ 
         
        Telecommuting phone number: ____________________________ 
         
        Start Date & Trial Period 
         
        The telecommuting arrangement will commence ____________________________ 
         
        A trial period will commence on the start date shown above and my
        manager and I will review the arrangement in approximately _____ days. 
         
        Attachments 
         
        ____  Approved 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 telecommuting guidelines. I
        acknowledge that legally Our Company may terminate or modify a
        telecommuting arrangement at any time for any reason. Telecommuting
        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. 
         
        _____________________________________________________________________ 
        Telecommuter's Name 
        (please
        print), Signature and Date 
         
        I have reviewed this agreement with this employee and witnessed the
        employee's signature. 
         
        _____________________________________________________________________ 
        Manager's Name 
         (please
        print), Signature and Date
       
       | 
     
   
 
  |