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Remote Work Documentation Form
Remote Work Documentation Form
Your Name
Your Name
*
First
Last
VP Area
*
VP Area
President's Office
VPAA
VPBA
VPSA
VPUA
VPEM
Supervisor Email
*
Dates of Remote Work
Not to exceed 4 days consecutively or 4 days a month per
IGP 191
.
First Day of Remote Work
First Day of Remote Work
*
/
MM
/
DD
YYYY
Last Day of Remote Work
Last Day of Remote Work
*
/
MM
/
DD
YYYY
Detail the University project-based priorities, critical deadlines, and/or extra-ordinary (non-continuing) situations that warrant short-term remote activities:
*
Acknowledgement
*
Acknowledgement
I understand that I should have communicated with my supervisor about my need for remote work before submitting this form.