A WIN / WIN TELECOMMUTING
PERFORMANCE AGREEMENT
I, _________________________________, the undersigned, agree to the following terms and conditions under
which my immediate supervisor and I will conduct our telecommuting work arrangement during the period
from _____________ to _____________. We both understand that this Agreement is a performance target, and
that the best work done while telecommuting occurs in an atmosphere of flexibility rather then rigidity.
1.
The City’s overall telecommuting policy is the basis for and is considered part of this Agreement.
2.
I will do my telecommuting from the following location:
Address (inc. City, State & Zip Code): ____________________________________________________
Type of facility: ___ Residence
3.
___ Satellite Center
___ Other_________________________
The frequency that I will be working from this location will be:
___ One day a month
___ Once every two weeks
___ Once a week
___ Two days a week
___ Three days a week
___ Four days a week
___ All the time, with weekly office visits
___ Occasionally, for special projects
During these days, I will take an approximately _____ minute break every _____ hours. However, I will
be available every week for a regular meeting scheduled for __________ (day) at __________ (time).
During the days I telecommute, I will also call the office at the following times for messages, additional
instructions, etc.:____________________.
4.
The resources to be maintained at this location include:
a._______________________________________________________________________________
b._______________________________________________________________________________
c._______________________________________________________________________________
d._______________________________________________________________________________
e._______________________________________________________________________________
f._______________________________________________________________________________
5.
Resources I will transport to and from this location every day that I work will include:
a. _______________________________________________________________________________
b._______________________________________________________________________________
c. _______________________________________________________________________________
d._______________________________________________________________________________
e. _______________________________________________________________________________
f. _______________________________________________________________________________
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6.
The resources at my regular work location to which I will have access from this location will be;
a. _______________________________________________________________________________
b._______________________________________________________________________________
c. _______________________________________________________________________________
d._______________________________________________________________________________
e. _______________________________________________________________________________
f. _______________________________________________________________________________
7.
Other necessary services and resources that I will need at this location will be provided as follows:
a. Provide my own :________________________________________________________________
b. Purchase locally as necessary:______________________________________________________
c. Rent of lease as necessary:_________________________________________________________
d. Provide from my own resources, with reimbursement:___________________________________
e. Provide from my own resources, without reimbursement:_________________________________
f. Other:__________________________________________________________________________
8.
My immediate supervisor and I will meet (circle one) daily / weekly / monthly to establish new
assignments, performance goals, and deadlines for me to pursuer, and to evaluate how well I am meeting
/ have met those established for me. Each set of current goals is considered part of this Agreement.
9.
It is also understood that:
a.
Before I begin to telecommute on a regular basis, my supervisor and I must have a Telecommute
Application on file at Employee Benefits – Commute Options & Parking Section (COPS).
b.
There are no distinctions in rates of pay and benefits between telecommuting and nontelecommuters;
c.
Telecommuters shall be given the same opportunities as non-telecommuters for promotion and
career development, including access to additional training;
d.
Telecommuters shall have regular opportunities to meet their telecommuting and nontelecommuting colleagues in their organizations in order to minimize any feelings of isolation or
exclusion;
e.
Telecommuters shall have the same rights and access to representation as their colleagues;
f.
Telecommuters may use their personal computer equipment and/or software for telecommuting, at
their own expense, provided that it is compatible with City computers and “virus” free;
g.
The City retains the right to inspect home offices and computer equipment/software for safety,
adequacy and security;
h.
The schedule worked by a telecommuter need not be the same as that of the principle office,
provided that their schedule is given prior approval by the telecommuter’s supervisor;
i.
A telecommuter is covered by Workers’ Compensation Insurance regardless of the location of
his/her workplace and work hours, provided that the work location and schedule were given prior
approval by the telecommuter’s supervisor;
j.
Accidents at a telecommuter’s home to persons who are not employees if the City of Los Angeles
or, if they are employees and are not engaged in City work activities, are the responsibility of the
telecommuter.
k.
Telecommuters are responsible for protecting City information in their possession and which is
accessible through use of equipment in their possession, regardless of their work location. Any
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m.
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sensitive information in a telecommuter’s possession must be given at least the same or equivalent
physical protection as would be used or available in the telecommuter’s principal office;
Telecommuters shall not use City-provided equipment or software to perform work for any other
employer;
Hours an employee is credited as telecommuting must be used exclusively for City-related duties;
such time may not be used performing duties for another employer, self employment, or
voluntary/charitable functions;
Telecommuting shall not be used performing duties for another employer, self employment, or
voluntary/charitable functions;
The City is not responsible for the portion of home utilities costs or space rental that is attributable
to a telecommuter’s telecommuting activities.
(Telecommuter)
(Supervisor)
(Department/Division)
(Department/Division)
(Date)
(Date)
The telecommuting employee and his/her supervisor should each have a completed copy of this Agreement.
In addition, your Department Personnel Officer/Section should be sent a copy of your Department’s records.
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