Sample Telecommuting Agreement

Below is a model of a telecommuting agreement. Modify it for use in your own organization.

I have read and understand the attached Telecommuting Policy, and agree to the duties, obligations, responsibilities, and conditions for telecommuters described in that document.

I agree that, among other things, I am responsible for establishing specific telecommuting work hours, furnishing and maintaining my remote work space in a safe manner, employing appropriate telecommuting security measures, and protecting company assets, information, trade secrets, and systems.

I understand that telecommuting is voluntary and I may stop telecommuting at any time. I also understand that the company may at any time change any or all of the conditions under which I am permitted to telecommute, or withdraw permission to telecommute.

1. Remote work location:
   
   Employee residence
   ________________________________________
   Company premise
   ________________________________________
   Description of work space at remote work location
   ________________________________________


2. Telecommuting schedule:
   
   On a weekly basis as follows
   ________________________________________
   On a monthly basis as follows
   ________________________________________
   No regular schedule (separate permission for each telecommuting day)
   ________________________________________


3. Regular telecommuting work hours:
   
   From ______ to ______
   
   Meal break/other breaks:
   ________________________________________


4. Company assets to be used at remote work location: (Description and ID numbers)
   ________________________________________
   ________________________________________
   ________________________________________


5. Company information systems to be accessed from remote work location: (List)
   ________________________________________
   ________________________________________
   ________________________________________


6. Non-company equipment, software, and data to be used at remote work location: (List)
   ________________________________________
   ________________________________________
   ________________________________________


7. Other
   ________________________________________
   ________________________________________
   ________________________________________