Remote Work Submission Form

Managers please submit a remote work submission form for each remote employee.

Remote Employee First Name *

Remote Employee Last Name *

Remote Employee Email Address *

Supervisor/Manager's Full Name *

Supervisor's Email Address *

Delta ID#

Job Title *

Department *

Remote Work Start Date *

mm/dd/yyyy

Remote Work End Date *

mm/dd/yyyy

Remote Work Packet Upload *

Please upload the completed Remote Work Agreement, Remote Work Supervisor's Checklist, and Remote Work Safety Checklist.

Drop your files here

*

Send me a copy of my responses

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