Remote Work Policy

The company issuing the policy

Is the employer a business or an individual?

Employer's full legal name

For a business, use its registered name, including "LLC" or "Inc." if it has one.

Street address

City

State

ZIP code

Email optional

Used for written notices.

The policy

When does this policy take effect?

Next scheduled review date optional

A date the company plans to review this policy. Leave blank if you do not have one.

In which state does the company mainly operate?

Shown in the policy heading. The policy does not state any state-specific rule.

Who should employees contact with questions about this policy?

Usually someone in human resources.

Contact's job title optional

Contact's email

Who may work remotely

Which employees may work remotely?

Days of employment before an employee may work remotely optional

For example, 90 for an introductory period. Leave blank if new employees may work remotely from the start.

Types of remote work

Which remote work arrangements does the company offer?

Fully remote

Hybrid (some days in the office each week)

Occasional remote days

Must each arrangement be approved in writing?

Yes No

If yes, the policy says the employee's manager and the policy contact approve each arrangement in writing (email is enough).

Work hours and availability

Core hours when remote employees must be available optional

For example, "10 a.m. to 3 p.m., Monday through Friday". Leave blank to have each schedule agreed with the manager.

During working hours, how quickly should employees respond to messages?

Workspace and safety

Must employees confirm their workspace is safe before starting remote work?

Yes No

If yes, the policy asks employees to complete the company's workspace checklist and to update it when they change workspaces.

Equipment and expenses

Security and confidentiality

Does the company provide a VPN that employees must use?

Yes No

Minutes of inactivity before screens must lock

Include rules for paper records at home?

Yes No

The policy says printed company documents must be stored securely and shredded or returned, not thrown away.

Email for reporting security incidents optional

For example, your IT help desk. Leave blank to have incidents reported to the policy contact.

Work location

Where may employees work remotely?

How many days' notice must employees give before moving or working from another state?

May employees work from outside the United States?

Communication

Which tools do remote employees use to communicate?

Email

Team chat

Video meetings

Phone

Names of the approved tools optional

For example, "Microsoft Teams and Outlook".

Camera use in video meetings

Require regular check-ins with the manager?

Yes No

Changes and acknowledgment

Days of notice before the company changes or ends an employee's arrangement

The policy says the company gives this much notice when practical, and may act sooner for business, performance or security reasons.

Include an acknowledgment page for employees to sign?

Yes No

The employee's signature confirms receipt only.

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The company issuing the policy

The policy

Who may work remotely

Types of remote work

Work hours and availability

Workspace and safety

Equipment and expenses

Security and confidentiality

Work location

Communication

Changes and acknowledgment

Review your answers

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