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U. S. Office of Personnel ManagementTelework |
Sample
Agreement
(Agencies may use or modify
this sample agreement)
Between Agency and
Employee Approved for Telework
on a Continuing Basis
The supervisor and the employee should each keep a copy of the agreement for reference.
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 telework arrangement is not an
employee entitlement 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
telework 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 regular office) and that the employee's
approved alternative workplace is: (specify street and number,
city, and state).
Note: All pay, leave, and travel entitlement are based on the official duty station.
Official Duties
Unless otherwise instructed,
employee agrees to perform official duties only at the regular
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 regular office or the
alternative workplace. For flexible work schedules, specify core
hours and the limits within which flexible hours may be worked ).
Time and Attendance
Agency agrees to make sure
the telework 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 regular 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 overtime work without such approval
is not compensated and may result in termination of the
telework 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
telework 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).
Liability
The employee understands that
the Government will not be liable for damages to an employee's
personal or real property while the employee is working at the
approved alternative workplace, except to the extent the
Government is held liable by the Federal Tort Claims Act or the
Military Personnel and Civilian Employees Claims Act.
Work Area
The employee agrees to
provide a work area adequate for performance of official duties.
Worksite Inspection
The employee agrees to permit
the Government to inspect the alternative workplace during the
employee's normal working hours to ensure proper
maintenance of Government-owned property and conformance with
safety standards. (Agencies may require employees to complete a
self-certification safety checklist.)
Alternative Workplace Costs
The employee understands that
the Government will not be responsible for any operating costs
that are associated with the employee using his or her home as an
alternative worksite, for example, home maintenance, insurance,
or utilities. The employee understands he or she does not
relinquish any entitlement to reimbursement for authorized
expenses incurred while conducting business for the Government,
as provided for by statute and regulations.
Injury Compensation
Employee understands he or
she is covered under the Federal Employee's
Compensation Act if injured in the course of actually performing
official duties at the regular office or the alternative duty
station. The employee agrees to notify the supervisor immediately
of any accident or injury that occurs at the alternative
workplace and to complete any required forms. The supervisor
agrees to investigate such a report immediately.
Work
Assignments/Performance
Employee agrees to complete
all assigned work according to procedures mutually agreed upon by
the employee and the supervisor and according to guidelines and
standards in the employee per-formance plan. The employee agrees
to provide regular reports if required by the supervisor to help
judge performance. The employee understands that a decline in
performance may be grounds for canceling the alternative
workplace arrangement.
Disclosure
Employee agrees to protect
Government/agency records from unauthorized disclosure or damage
and will comply with requirements of the Privacy Act of 1974, 5
U.S.C. 552a.
Standards of Conduct
Employee agrees he or she is
bound by agency standards of conduct while working at the
alternative worksite.
Cancellation
Agency agrees to let the
employee resume his or her regular schedule at the regular office
after notice to the supervisor. Employee understands that the
agency may cancel the telework arrangement and instruct the
employee to resume working at the regular 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: ______________________________________