UCDHS
TELECOMMUTING/FLEXIBLE WORK AGREEMENT
(Circle the item numbers that are applicable.)
1. Telecommuting/flexible work schedule may be terminated, with proper notice, by
the department at any time. Requests by the employee to terminate the
telecommuting/flexible work schedule will be considered by the department
supervisor at any time.
Telecommuting/flexible work schedule to begin (date): _____________________
Telecommuting/flexible work schedule to end (date): _____________________
2. Telecommuting/flexible schedule days and hours are scheduled as follows and
shall not be substituted without the prior approval of the supervisor:
In-office days and hours will be: _______________________________________
Telecommuting/flexible schedule days will be: ___________________________
Telecommuting/flexible schedule hours will be: ___________________________
Telecommuting work site has been designated as: _________________________
Day(s) when telecommuting/flexible schedule is/are not permitted: ___________
Meetings at the work site have been regularly scheduled for: _________________
3. Labor Relations reviewed and approved this arrangement; union notice was given,
if required.
Approved by: (Labor Relations) _______________________________________
Notice date: (if required) _____________________________________________
4. The duties, obligations, responsibilities and conditions of the telecommuter or
flexible work schedule employee’s employment with the University remain
unchanged. The employee’s salary, retirement, vacation and sick leave benefits,
and insurance coverage shall remain the same.
5. Work hours, overtime compensation, use of sick leave, and approval for use of
vacation will conform to University and UCD policies and procedures,
departmental guidelines, or to the appropriate collective bargaining agreement,
and to the terms otherwise agreed upon by the employee and the supervisor.
6. Performance expectations and goals for completing telecommuting/flexible work
schedules have, and will continue to be, discussed with the employee. (Attach
relevant documents.)
7. The method of review regarding telecommuting/flexible schedules has been
discussed with the employee. (Attach relevant documents.)
8. The University’s Workers’ Compensation program provides coverage for injuries
and illnesses incurred in the course and scope of employment. “Course and scope
of employment” is limited to the hours and locations described in this
arrangement.
9. Requests by the telecommuting/flex scheduled employee to work overtime, use
sick leave, or schedule vacation or other leave must be approved in advance by
the employee’s supervisor in the same manner as when the employee is working
at the department location.
10. Employees may be asked to participate in studies, inquiries, reports or analyses
relating to telecommuting/flexible work for the University. The employee’s
individual responses will remain anonymous, but statistical data may be compiled
and made available to the public.
11. Telecommuting/flex scheduled employees remain obligated to comply with all
University rules, policies, practices and instructions. Violation of such rules,
policies, practices and instructions may result in preclusion from
telecommuting/flexible arrangement and/or disciplinary action up to and
including dismissal.
TELECOMMUTING ONLY
12. The use of equipment, software, data, supplies and furniture, when provided by
the University for use at a remote work location, is limited to authorized persons
and for purposes related solely to University business. Attach P&P 350-70,
Exhibit A http://manuals.ucdavis.edu/PPM/350/350-70.htm if University
equipment will be taken off campus.
13. Telecommuting employees shall designate a work area to be used in the
telecommuting arrangement. The employee must maintain this work area in a safe
condition, free from hazards to people or equipment. The University is not liable
for injuries to visitors and/or members of employee’s household arising from the
employee’s premises.
14. University equipment will generally be provided to an employee who
telecommutes on a regular and more frequent basis than once per week. When
University equipment is provided to the telecommuting employee, the employee
is responsible for seeing that the equipment is properly used. The University will
repair University equipment.
University equipment to be used: _____________________________________
__________________________________________________________________
15. For employees who telecommute one day per week or less frequently, the
employee uses her/his own equipment, and is responsible for maintenance, repair
and replacement of that equipment.
Employee’s equipment to be used: _____________________________________
_____________________________________________________________________
16. In the event of delay in repair or replacement of equipment, or other
circumstances under which it would be impossible to telecommute, the employee
may be assigned by the supervisor to do other work and or be assigned to another
work location.
17. The telecommuter will answer phone calls to ____________ (phone number)
during working hours.
18. The University will pay for business telephone calls made while telecommuting
as follows (installed phone line, telephone credit card, cell phone, other): _______
19. If an employee is sick on a telecommuting day, the supervisor shall be notified in
the same manner as required of the employee when working at the department
location. The employee will report sick leave hours on the appropriate absence
form.
20. Individual tax implications related to the home work space shall be the
responsibility of the telecommuter. Telecommuting employees are advised to
consult a tax expert.
21. With reasonable notice, the University may make on-site visits to the
telecommuting site to determine if the work site is safe and free from hazards, and
to maintain, repair, inspect or retrieve University-owned equipment, software,
data and supplies.
I have reviewed and approved the above Telecommuting/Flexible Work Schedule
Arrangement.
Department _________________________________________________
Date _________ Supervisor Name (Print) ___________________ Phone number ______
(signature)________________________
Date _________ Department Head (Print) _____________________________________
(signature)________________________
I agree to the Telecommuting/Flexible Work Schedule Arrangement.
Date_________Employee Name (Print) _____________________ Phone number ______
(signature)_________________________
Revised 4/3/09