The following checklist is designed to ensure that your telecommuting employee is properly oriented to the policies and procedures of the telecommuting program. Questions 4, 5, and 6 may not be applicable to your telecommuting employee. If this is the case, simply state non-applicable or n/a.

NAME OF FLEXIPLACE EMPLOYEE_____________________________________________


NAME OF IMMEDIATE SUPERVISOR____________________________________________

ACTION COMPLETED	DATE
1. Employee has read guidelines outlining policies and procedures of the pilot program	_____________
2. Employee has been provided with a schedule of core hours	_____________
3. Employee has been issued equipment	_____________
4. Equipment issued by the agency is documented	_____________

Check as applicable, yes or no:
-computer..........................	Yes___No___
-modem.............................	Yes___No___
-fax machine......................	Yes___No___
-telephone.........................	Yes___No___
-desk.................................	Yes___No___
-chair.................................	Yes___No___
-other................................	Yes___No___

5. Policies and procedures for care of equipment issued by the agency have been explained and are clearly understood	_____________
6. Policies and procedures covering classified, secure, or privacy act data have been discussed, and are clearly understood	_____________
7. Requirements for an adequate and safe office space and/or area have been discussed, and the employee certifies those requirements are met	_____________
8. Performance expectations have been discussed and are clearly understood	_____________
9. Employee understands that the supervisor may terminate employee participation at any time, in accordance with established administrative procedures and union negotiated agreements	_____________
10. Employee has participated in training for Federal telecommuters	_____________

_______________________________________
Supervisor signature


_______________________________________
Employee signature

---

INFORMATION

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