Free PDF template
Remote Work Application Form
Remote Work Application Form — a 1-page PDF form with 12 fill-in fields and a notary block.
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Information you will need
- What’s the employer’s name?
- Who's the employee's supervisor?
- What's the employee's normal schedule?
- What’s the employee’s job title?
- What’s the employee’s proposed schedule?
- What’s the employee’s name?
- Was remote work approved?
- What's the reason for the request?
- What’s the employee’s department?
- How long does the employee want to work remotely?
- What’s the supervisor's name?
- Does the supervisor have any comments?
Completed by the employee.
The form includes 2 signature lines, a notary acknowledgment.
PDF facts
- Format
- File size
- 522 KB
- Pages
- 1
- Version
- 1
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