Free PDF template
Remote Work Agreement Form
Remote Work Agreement Form — a 2-page PDF form with 13 fill-in fields and a notary block.
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0 downloadsUpdated Aug 21, 2026
Information you will need
- What's the employee's schedule?
- What’s the employee’s name?
- Who's the employee's supervisor?
- What’s the employer’s name?
- What’s the employee’s job title?
- What’s the employee’s department?
- What’s the employee’s Fair Labor Standards Act (FLSA) status?
- When does this agreement become effective?
- When will this agreement terminate?
- What's the name of the state where work will take place?
- What's the employee's remote work status?
- What's the name of the the state of the employer?
- Where will the alternative work location be?
Completed by the employee.
The form includes 2 signature lines, a notary acknowledgment.
PDF facts
- Format
- File size
- 530 KB
- Pages
- 2
- Version
- 1