Remote Work Agreement

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Remote Work Agreement

A remote work agreement is a contract that defines the terms and conditions for employees who are approved to work away from the office. The employer uses this form to ensure the parties understand and sign off on matters such as the work schedule, alternate work location, and employee expectations.

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Last updated October 30th, 2025

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A remote work agreement is a contract that defines the terms and conditions for employees who are approved to work away from the office. The employer uses this form to ensure the parties understand and sign off on matters such as the work schedule, alternate work location, and employee expectations.

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Remote Work Application Form – This form is for employees seeking approval for a remote or hybrid work arrangement.

What’s Included

Each employer who permits remote work will have their own unique stipulations for their employees that suit their business needs. However, a remote work agreement will generally include:
  • Where their remote work will take place.
  • The employee’s information, title, supervisor, and schedule.
  • Whether the employee is hybrid or full-time.
  • The remote work schedule (i.e., when the employee must be available).
  • The employee’s Fair Labor Standards Act status.
  • How and when the agreement can be terminated.

Sample

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[EMPLOYER NAME]
REMOTE WORK AGREEMENT

EMPLOYEE INFORMATION

Employee Name: [EMPLOYEE NAME]
Job Title: [JOB TITLE]
Department: [DEPARTMENT]
Supervisor: [SUPERVISOR NAME]

FLSA Status: (check one)
☐ – Exempt
☐ – Non-Exempt

The remote work will begin and end on the following dates:

Start Date: [MM/DD/YYYY]      End Date: [MM/DD/YYYY OR “N/A”]

AGREEMENT TYPE

The employee will work: (check one)

☐ – Hybrid Remote: Duties will be split between the alternative worksite listed below and the employee’s regular workplace.
☐ – In-State Full Remote: Duties will be performed exclusively at the alternative work location listed below, which is located in [STATE].
☐ – Out of State Full Remote: Performance of all duties will take place at an alternative location listed below, outside of [STATE].

Unless the employee obtains written or oral permission, the employee will perform their duties at:

[ENTER THE FULL ADDRESS OF ALTERNATIVE WORK LOCATION]

EMPLOYEE EXPECTATIONS

The execution of a remote work agreement is not intended to alter the employee’s work responsibilities. Unless otherwise specified, remote employees must:

  • Act in accordance with company policies, procedures, and standards.
  • Maintain the same performance standards as those of on-site employees.
  • Work actively during scheduled working hours and be accessible and available for communication with their supervisor, clients, and/or co-workers.
  • Protect confidential information and follow company data security policies.
  • Report any injuries that occur while working remotely.

EMPLOYEE SCHEDULE

The employee agrees to adhere to the following schedule:

[ENTER EMPLOYEE SCHEDULE]

EQUIPMENT

The employee acknowledges that all company equipment provided by the company remains company property and must be returned upon request or termination of the remote work agreement. Employee must use reasonable care to protect company equipment, records, and materials from unauthorized access, use, or damage. Employee is responsible for maintaining adequate internet connectivity.

Employee agrees to promptly report to the supervisor any incidents of loss, damage, or unauthorized access.

EMPLOYEE ACKNOWLEDGEMENT

I have read, understand, and agree to comply with all provisions of this remote work agreement. I understand that any violation of the terms of this agreement may result in disciplinary action up to and including termination. My signature serves as proof that I agree to the terms and conditions of this agreement.

Employee Signature: ________________ Date: ____________
Print Name: [EMPLOYEE NAME]

Supervisor Signature: Date: ________________
Print Name: [SUPERVISOR NAME]