|NASA Headquarters' Directives|
Effective Date: October 25, 2007
Expiration Date: October 25, 2012
Cancellation Date: April 19, 2012
Responsible Office: LM
This document is uncontrolled when printed.
Check the NASA Online Directives Information System (NODIS) Library
to verify that this is the correct version before use.
APPENDIX B. INITIAL TELEWORK REQUEST
I, _____________________, request approval to telework using the following option: (choose one)
_____ Core telework
_____ Episodic telework
1. I would like to start teleworking on (for core teleworking only) ______________________.
2. The address of my alternative worksite will be:
3. (For core teleworking only) My core telework days will be:
4. While I am teleworking, I will be available on: (phone number and/ or email address)
5. I have read the Headquarters Procedural Requirements for the Telework Program and agree to comply with all of its provisions.