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This section currently contains three examples of Telecommuting Agreements and other materials used by the GSA and other agencies to involve employees in the telecommuting pilot project. Other examples and materials will be added as they become available.

EXAMPLE 1: Sample Agreement Between Agency and Employee Approved for Telecommuting on a Continuing Basis

The supervisor and the employee should each keep a copy of this agreement for reference.

(Agency)__________________________________(Employee)____________________________

Voluntary Participation
Employee voluntarily agrees to work at the agency-approved alternative workplace indicated below and to follow all applicable policies and procedures. Employee recognizes that the flexiplace arrangement is not an employee benefit but an additional method the agency may approve to accomplish work.

Trial Period
Employee and agency agree to try out the arrangement for at least [specify number] months unless unforeseeable difficulties require earlier cancellation.

Salary and Benefits
Agency agrees that a telecommuting arrangement is not a basis for changing the employee's salary or benefits.

Duty Station and Alternative Workplace
Agency and employee agree that the employee's official duty station is: [indicate duty station for main office] and that the employee's approved alternative workplace: [specify street and number, city, and State]

Note: All pay, leave and travel entitlements are based on the official duty station.

Official Duties
Unless otherwise instructed, employee agrees to perform official duties only at the main office or agency-approved alternative workplace. Employee agrees not to conduct personal business while in official duty status at the alternative workplace, for example, caring for dependents or making home repairs.

Work Schedule and Tour of Duty
Agency and employee agree the employee's official tour of duty will be: [specify days, hours, and location, i.e., the main office or the alternative workplace].

Time and Attendance
Agency agrees to make sure the telecommuting employee's timekeeper has a copy of the employee's work schedule. The supervisor agrees to certify biweekly the time and attendance for hours worked at the main office and the alternative workplace. (Note: agency may require employee to complete self certification form.)

Leave
Employee agrees to follow established office procedures for requesting and obtaining approval of leave.

Overtime
Employee agrees to work overtime only when ordered and approved by the supervisor in advance and understands that working overtime without such approval may result in termination of the flexiplace privilege and/or other appropriate action.

Equipment\Supplies
Employee agrees to protect any Government-owned equipment and to use the equipment only for official purposes. The agency agrees to install, service and maintain any Government-owned equipment issued to the telecommuting employee. The employee agrees to install, service, and maintain any personal equipment used. The agency agrees to provide the employee with all necessary office supplies and also reimburse the employee for business-related long distance telephone calls.

Security
If the Government provides computer equipment for the alternative workplace, employee agrees to the following security provisions: [insert agency-specific language]

worksite.

Cancellation
Agency agrees to let the employee resume his or her regular schedule at the main office after notice to the supervisor. Employee understands that the agency may cancel the telecommuting arrangement and instruct the employee to resume working at the main office. The agency agrees to follow any applicable administrative or negotiated procedures.

Other Action
Nothing in this agreement precludes the agency from taking any appropriate disciplinary or adverse action against an employee who fails to comply with the provisions of this agreement.

(Employee's Signature and Date)_____________________________________________

(Supervisor's Signature and Date)_____________________________________________

EXAMPLE 2: Telecomuting (Flexiplace) Pilot Program Work Agreement

Type of Telecommuting (Flexiplace) Request: Medical ___ Non-Medical ___

The following constitutes an agreement between:

Terms and conditions of the Telecommuting (Flexiplace) program.

1. Employee agrees to participate in this program on a voluntary basis and to adhere to the applicable guidelines and policies.

2. The agreement is made for a specified period of time not to exceed 6 months. The employee may work at the alternate duty station a maximum of 1 day per week during the agreement period. Employee agrees to participate in this program for the period of time:

3. Employee's official duty station is:

______________________________________________________________________
Complete Address

4. Employee is allowed to participate in any type of work schedule authorized for use by his/her immediate organization. Normal rules and procedures apply for authorizing, approving, earning, and using of leave, overtime, credit hours, compensatory time, etc. Failure to obtain prior approval for overtime work or earning of credit hours may result in the employee's removal from the flexiplace program or other appropriate action.

Management reserves the right to alter the employee's established work schedule to accommodate work demands or for any other official purpose.

5. Employee's time and attendance will be recorded as performing official duties at the official duty station. The normal duty day must be accounted for by hours worked, some form of authorized leave, or any combination thereof. All leave and travel entitlement will be based on the employee's official duty station.

6. Employee will meet the supervisor or others as necessary, appropriate, or requested in order to perform assigned duties or to fulfill organizational requirements. This includes such activities as attending required training programs, receiving assignments, reviewing completed work, attending meetings, providing progress reports etc.

7. If the employee requires Government property at the alternate duty station, the employee may request a loan of such items. The loan, use, security, and protection of Government property must be in accordance with established policies and procedures. The employee is responsible for immediately notifying his/her supervisor if Government-owned property fails to operate properly or is damaged. Employee-owned property, computer equipment, software, etc. is the sole responsibility of the employee.

Government-owned computer equipment and software will be serviced and maintained by the Government at a location of its choosing. The employee agrees to follow the terms of computer software license and copyright agreements, as well as computer virus and protecti The agreement may be renewed or extended at the end of the originally agreed upon period.

Supevisor's Signature: ____________________________________ Date:_________

Employee's Signature: ____________________________________ Date:_________

Approving Official's Signature: ___________________________ Date:_________

EXAMPLE 3. FLEXIPLACE TEST: APPLICATION FORM

Bargaining Unit______

Non-Bargaining Unit______

Please complete, sign, and return this form to your supervisor by __________.

If you fail to return this form by the requested date, we will assume that you do not wish to participate in the Telecommuting Program. If you choose not to participate in this program, you will continue to work at your official workstation.

1. Mark your choice:

I wish to work at a satellite facility (Telecommuting Center). ____

2. Place the number "1" next to the day you would most like to work at home as your first choice. Next, place the number "2" next to the day you would like to work at home as your second choice.

HOME: Monday ___ Tuesday ___ Wednesday ___ Thursday ___ Friday ___

3. Place the number "1" next to the day you would most like to work at the satellite facility or telecommuting center as your first choice. Next, place the number "2" next to the day you would like to work at the satellite facility or telecommuting center as your second choice.

CENTER: Monday ___ Tuesday ___ Wednesday ___ Thursday___ Friday ___

4. For your information only, attached is a list of available satellite facilities or telecommuting centers. Select the one that you are most interested in and list it here. DO NOT contact the center yourself.

I am interested in working at the ___________________________________ facility.

______________________________________________________
EMPLOYEE'S NAME/DATE

_____________________________________
ORGANIZATION

INFORMATION

For more information contact Dr. Wendell Joice on (202) 273-4664 or email at wendell.joice@gsa.gov