Telework Work Plan - Department of Budget and Management
TELEWORK WORK PLAN
Teleworking Agreement Attachment 2
Teleworker's Name:
_______________ Telework Date: ________
Supervisor's Name:
________________________
This Telework Work Plan is intended to clearly define work expectations each time an employee works at a remote work site. Part I of the Work Plan must be completed by the supervisor before each telework day. After the telework day, the teleworker must provide the completed Work Plan (Part II) and associated deliverables to the supervisor.
PART I: Assignments and Deliverables (To be completed by the Supervisor) ? Indicate assignments and specific deliverables prior to telework date, and initial after telework date to indicate completion.
ASSIGNMENTS
SPECIFIC DELIVERABLES
ACKNOWLEDGEMENT OF COMPLETION
PART II: Hourly Work Log (To be completed by Teleworker) ? The teleworker must detail the work performed during each hour of the telework day. Attach additional pages if needed.
HOUR
WORK DESCRIPTION
Employee's Signature
Date
Supervisor must sign the completed Telework Work Plan and submit it to the Agency Personnel Office within one week of the telework day.
Supervisor's Signature
Date
Agency Personnel Officer's Signature
Date
DBM-OPSB REV. July 2019
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