Telework.org

Guide · Reviewed October 2026 · Telework.org editorial team

Telework agreement template and checklist

A written telework agreement sets out where, when and how someone works away from the office. Federal employees must have one under the Telework Enhancement Act of 2010. For private employers it is good practice. The template below is a general starting point and not legal advice. Adapt it to your policies and local law.

Telework agreement template

Template
TELEWORK AGREEMENT

Employee name: ____________________
Job title: ____________________
Supervisor: ____________________
Start date: __________   Review date: __________

1. Arrangement
   Type: [ ] Regular/recurring   [ ] Situational/ad hoc   [ ] Fully remote
   Telework days: ____________________
   Core hours when the employee is reachable: __________ to __________

2. Telework location
   Address of approved location: ____________________
   The employee will request approval before working from another location.

3. Duties and performance
   Duties, performance standards and expectations are the same as on site.
   Work that is not suitable for telework: ____________________

4. Equipment and costs
   Equipment provided by the employer: ____________________
   Equipment provided by the employee: ____________________
   Reimbursed expenses (if any): ____________________

5. Security and records
   The employee will follow the employer's IT, data protection and records policies,
   use approved devices and networks, and keep confidential material secure.

6. Workspace safety
   The employee will keep a safe workspace and report any work-related injury promptly.

7. Hours, pay and leave
   Hours of work, overtime approval and leave rules are unchanged.

8. Communication
   Tools and expected response times: ____________________
   Days the employee must attend on site when requested: ____________________

9. Changes and ending the agreement
   Either party may change or end this agreement with ____ days' written notice,
   subject to applicable policy or collective agreement.

Employee signature: ____________________  Date: ________
Supervisor signature: ____________________  Date: ________

Checklist before signing

Background: What is telework? · Federal telework rules

More guides