Remote Telecommuting Agreement

REMOTE TELECOMMUTING AGREEMENT

This Remote Telecommuting Agreement (the "Agreement") is made effective as of by and between Employer Name: and Employee Name: .

Personal Information

Position and Terms

Anticipated Telecommute Start Date:   Salary or Rate: $   Pay Frequency:

Employment Status: Exempt    Non‑exempt

Telecommuting Location, Schedule, and Equipment

Equipment provided by Employer (check all that apply):

Laptop/Computer    Monitor(s)    Printer    Other:

Security, Confidentiality and Data Protection

Employee must comply with all Company policies regarding information security, confidentiality, and acceptable use. Employee shall safeguard Company data and devices, use approved security software, and report any suspected breach immediately. Employee acknowledges that remote access to Company systems may be monitored for compliance and security.

Employee acknowledges and agrees to comply with the Company's confidentiality and data protection obligations as a condition of continued telecommuting.

Work Performance, Hours and Overtime

Employee must maintain satisfactory performance as determined by Employer. Employee must be available during scheduled work hours and maintain communication via agreed means. Non‑exempt employees must obtain prior authorization for overtime.

Workers' Compensation, Liability and Insurance

Employer's workers' compensation policy may cover work‑related injuries occurring in the agreed telecommuting work location. Employee must promptly report any work‑related injury. Employee is responsible for maintaining a safe work environment and appropriate homeowners or renters insurance for non‑Company property.

Employee acknowledges receipt of the workers' compensation information and agrees to report incidents as required.

Termination of Telecommuting Arrangement

Telecommuting is a privilege and may be modified or terminated at Employer's discretion. Employer may revoke telecommuting privileges with written notice. Employee may terminate participation with written notice to Employer.

Notice required to end telecommuting arrangement:  days.

Return of Company Property

Upon termination of employment or upon Employer's request, Employee shall return all Company property within the timeframe specified by Employer. Employee shall not retain copies of Company data on personally‑owned devices.

Employee agrees to return Company property and to permanently remove Company data from personal devices if requested.

Employment History (Most Recent)

Dates Employed:

Employment History (Prior)

Dates Employed:

Education

References (Professional)

Legal Disclosures and Acknowledgements

At-Will Employment: Nothing in this Agreement modifies the at‑will nature of employment. Either party may terminate the employment relationship at any time, with or without cause, subject to applicable law.

Equal Opportunity: Employer is an equal opportunity employer. Employment decisions will be made without regard to protected characteristics under applicable law.

Employee acknowledges and understands the At‑Will Employment statement.

Employee acknowledges receipt of the Equal Opportunity statement.

Authorization, Certification and Background Checks

Employee authorizes Employer to contact prior employers and professional references and to obtain background checks and verification of information provided. Any job offer or telecommuting approval may be conditional on satisfactory results from such inquiries.

I authorize the Company to contact prior employers and references and to conduct background checks as permitted by law.

I certify that all information provided in connection with this Agreement, including employment history and references, is true and complete to the best of my knowledge. I understand that falsification may result in denial of telecommuting privileges or disciplinary action up to and including termination.

I certify that all information provided is true and complete.

Miscellaneous

Governing Law: This Agreement shall be governed by and construed in accordance with the laws of the state of , without regard to conflict of law principles.

Severability: If any provision of this Agreement is held invalid or unenforceable, the remainder of the Agreement shall remain in full force and effect.

Amendment: This Agreement may be amended only by a written instrument signed by both parties.

Applicant / Employee Acknowledgement

By signing below, Employee acknowledges receipt of this Agreement, understands its terms, and agrees to comply with all telecommuting requirements and Company policies referenced herein.

Signatures

Sign Now