Covid Work From Home Agreement

COVID WORK FROM HOME AGREEMENT

Employee Personal & Contact Information

Position & Assignment Details

Proposed effective date of this remote work arrangement:

Equipment, Reimbursement & Expenses

Equipment provided by Employer (check all that apply):

Expense reimbursement: Employer will reimburse preapproved, reasonable business expenses directly related to remote work upon submission of receipts. Employee agrees to submit reimbursements within 30 days of incurring expense. Maximum single-item preapproval required for items over: $.

Health, Safety & COVID-19 Specific Terms

This temporary remote work arrangement is implemented in response to COVID-19 related public health considerations. Employee agrees to immediately notify Employer if Employee tests positive for COVID-19, is exposed to a confirmed case, or is ordered by public health authorities to quarantine. Employee further agrees to cooperate with contact tracing and any reasonable health screening procedures required by Employer.

Employee is responsible for maintaining a safe and ergonomically appropriate workspace. Employer may require completion of an ergonomics self-assessment and may request that certain equipment be returned or replaced to ensure a safe work environment.

Confidentiality, Security & Data Protection

Employee must follow all Employer policies regarding confidentiality, acceptable use, data handling, and information security while working remotely. Employee will use Employer-provided virtual private network (VPN) or equivalent secure connection for all access to internal systems and will not permit unauthorized persons access to Employer systems or materials. Loss or disclosure of Employer data due to Employee negligence must be reported immediately and may result in disciplinary action or liability for damages.

Term, Modification & Termination

This Agreement begins on the effective date above and remains in effect until terminated by either party. Employer may modify or revoke remote work privileges at any time for operational, performance, or health and safety reasons. Employee acknowledges that remote work does not change the at-will nature of employment unless a separate written agreement signed by an authorized Employer representative states otherwise.

At-Will Employment & Equal Opportunity

At-Will: Employee acknowledges and agrees that Employee's employment is at-will and may be terminated by either party at any time, with or without cause, and with or without notice, except where otherwise expressly provided by written agreement executed by Employer's authorized representative.

Equal Opportunity: Employer is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable law.

Authorization & Background Checks

Employee authorizes Employer to contact prior employers and references to verify employment history and to perform employment-related background checks to the extent permitted by law. Employee acknowledges that any misrepresentation or omission of material facts may be grounds for immediate termination.

Employee Background Information (for records)

Emergency Contact Name:

Emergency Contact Phone:

Employment History

Dates Employed (From - To):

Dates Employed (From - To):

Education

Graduation Date:

Professional References (3)

Representations & Employee Certification

I certify that all information provided in this Agreement and accompanying employee records is true, accurate, and complete to the best of my knowledge. I understand that false statements or omissions may result in disciplinary action, up to and including termination.

By signing below, Employee agrees to comply with all terms of this Agreement and all applicable Employer policies while working remotely. Employee understands that failure to comply may result in revocation of remote-work privileges and/or disciplinary action.

Additional Terms & Governing Law

This Agreement constitutes the entire understanding between the parties concerning remote work for the COVID-19 period and supersedes any prior inconsistent communications. This Agreement shall be governed by the laws of the state in which Employer's principal office resides, except where superseded by applicable federal law. Any disputes shall be resolved in courts having jurisdiction over Employer's principal office.

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