This form facilitates conversation and documents the telecommuting work arrangement between employees and their respective supervisors and department chairs. This form should be completed by the employee after their supervisor or department chair has determined that both the employee and their position are eligible for telecommuting work as defined by the University's Telecommuting Arrangement policy.
This form is not intended to be used when an employee is requesting to be hybrid due to a medical, FMLA, or ADA reasons. Please contact HR for assistance with these processes.