SOP_NUMBER: 104.66-att-1
TITLE: Telework Agreement
REFERENCE_CODE: IVO21-0001
DIVISION: Administrative & Finance
TOPIC_AREA: 104 Policy-HR Timekeeping/FLSA/Overtime/Call-Back
EFFECTIVE_DATE: 2021-04-29
WORD_COUNT: 448
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105317
URL: https://gps.press/sop-data/104.66-att-1/
SUMMARY:
This is the telework agreement form that GDC employees must complete and sign when participating in the agency's teleworking program. The agreement documents the employee's work schedule, main office location, alternate workplace location, and confirms the employee has completed required teleworking training and agrees to comply with SOP 104.66 and all terms of the program. It establishes mutual obligations including maintaining productivity, communication with supervisors, workplace safety, and proper leave request procedures.
KEY_TOPICS: telework agreement, remote work, work from home, flexible work arrangements, alternate workplace, teleworking program, work schedule, employee agreement, GDC telework, employee certification
ATTACHMENTS:
1. Telework Agreement
URL: https://gps.press/sop-data/104.66-att-1/
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FULL TEXT:
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**GEORGIA DEPARTMENT OF CORRECTIONS**
**TELEWORK AGREEMENT**
NAME: Employee ID#:
JOB TITLE: JOB CODE:
**MAIN OFFICE WORKPLACE**
Street Address:
City, State & Zip:
Telephone(s):
**ALTERNATE WORKPLACE**
Street Address:
City, State & Zip:
Telephone(s):
**WORK SCHEDULE:**
SOP 104.66
Attachment 1
4/29/21
Page 1 of 2
|DAY OF
WEEK|TIME
WORK
DAY
BEGINS|TIME
LUNCH
PERIOD
BEGINS|TIME
LUNCH
PERIOD
ENDS|TIME
WORK
DAY ENDS|LOCATION|
|---|---|---|---|---|---|
|||||||
|||||||
|||||||
|||||||
|||||||
|||||||
|||||||
Flexible – I am an occasional Teleworker. The days I Telework will be determined on an as needed
basis with the approval of my supervisor.
As a participant in the Georgia Department of Corrections (GDC) Teleworking Program, I certify that I
have completed mandated Teleworking Training, reviewed and agree to comply with GDC Standard
Operating Procedure (SOP) 104.66, Teleworking, the terms and conditions listed in this GDC Teleworking
Agreement, and all other terms and conditions of employment.
- I agree to spend the time approved for Teleworking performing the assigned duties and responsibilities
of my job.
- I agree to maintain contact with my work unit, as appropriate, to successfully perform my assigned
duties and responsibilities.
- I agree to contact my supervisor or other authorized official to request prior approval for leave, when
needed.
- I agree to maintain a safe work environment that is conducive to productivity.
- Arrangements have been made for child/dependent care, and personal disruptions such as non-business
telephone calls and visitors will be kept to a minimum.
- I agree to check with my supervisor any time there is a security issue that arises during my work at
home or other alternate work site.
Retention Schedule: Upon completion, this form shall be retained for one (1) year after agreement ends in
local HR Office and Correctional Human Resources Management (CHRM).
SOP 104.66
Attachment 1
4/29/21
Page 2 of 2
- I understand that the GDC is not liable for any damages to my personal or real property while I am
performing official duties at home or other alternate work site.
- I agree to immediately report to my supervisor any work-related injuries that occur while Teleworking.
- I understand that the sole purpose of this agreement is to regulate Teleworking, and that it does not
constitute a contract of employment.
- I understand that Teleworking is voluntary and is not an employee right.
**Special Conditions/Comments:**
**I understand that this Agreement shall become effective as of the date indicated below and may be**
**terminated by me, my supervisor or other authorized official.**
**NOTE:** _Signatures are not required if submitting this form electronically via E-mail. Type your name and_
_the date you completed the form and email it to next approving/processing entity._
Retention Schedule: Upon completion, this form shall be retained for one (1) year after agreement ends in
local HR Office and Correctional Human Resources Management (CHRM).