NASA logo NASA Headquarters' Directives
HQPR 3611.1
Effective Date: October 25, 2007
Expiration Date: October 25, 2012
Cancellation Date: April 19, 2012
Responsible Office: LM
Telework Program
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Table of Contents | Preface | Chapter1 | Chapter2 | Chapter3 | Chapter4 | Chapter5 | AppendixA | AppendixB | AppendixC | AppendixD | AppendixE


This Agreement documents the employee?s participation in a Core Telework arrangement with NASA Headquarters. ÿ

1.ÿÿÿÿ Employee Name:ÿ _______________________________ ÿ

2.ÿÿÿÿ The employee will begin teleworking on:
__________________________________________________________________ÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿ

3. The employee?s telework site / address is: ________________________________________________________________________ ÿ ÿ

4. The employee?s telework schedule is:___________________(list hours and days the employee will telework) ÿ

5.ÿ The employee is covered by the same time and attendance, leave, and overtime requirements and procedures as non-teleworking employees. ÿ

6.ÿ The employee is covered by the same property management, IT security, and appropriate use requirements and procedures as non- teleworking employees. ÿ

7.ÿ The employee is covered by the same requirements for proper use and safeguarding government records as non-teleworking employees.ÿ The employee shall not remove classified (i.e., data with official classifications assigned such as ?Confidential?, ?Secret?, or ?Top Secret?) material from the premises of NASA Headquarters.ÿ An employee may take Privacy Act protected documents to the alternative worksite on a temporary basis, but will not permanently store those documents at the alternative worksite.ÿ Before an employee may remove Privacy Act protected documents and other sensitive documents from NASA Headquarters, the employee must receive permission from his/her immediate supervisor and undergo counseling on the proper use and safeguarding of these documents. ÿ

8.ÿ The employee is covered by the provisions of the Federal Employees Compensation Act (FECA) while working at the alternate worksite.ÿ The employee shall inform the supervisor immediately of any accident or injury at the alternate worksite.ÿÿ ÿ

9.ÿ The employee is responsible for adhering to proper safety practices at all times.ÿ This includes maintaining a safe work environment and familiarity with NASA safety requirements.ÿ The employee has been given a copy of the Self-Certification Safety and IT Security Checklist. ÿ

10.ÿ NASA is not responsible for any operating costs that are associated with the employee using his/her home as an alternative worksite, e.g., home maintenance, insurance, or utilities.ÿ The employee does not relinquish any entitlement to reimbursement for authorized expenses while conducting government business, as provided for by statute and regulation. ÿ

11.ÿ NASA shall not be liable for damages to the employee?s real and personal property while the employee is working at the alternative worksite except to the extent that the agency is held liable under the Federal Tort Claims Act or the Military and Civilian Employee Claims Act.ÿÿ ÿ

12.ÿ The employee may discontinue participation in the Telework Program at any time by providing advance notice (normally one week) to the supervisor in writing to ensure adequate time to plan for return to a regular work environment and schedule.ÿ ÿ

13.ÿ The supervisor may remove the employee from the Telework Program if the employee?s participation is not of benefit to NASA, e.g., if the objectives or priorities of the organization no longer support the employee?s teleworking, or if the employee?s performance or conduct fails to meet expectations.ÿ The supervisor shall provide advance notice (normally one week) of the termination of the telework agreement in writing to ensure adequate time to plan for return to a regular work environment and schedule. ÿ

14.ÿ The employee has been provided a copy of the Headquarters Procedural Requirements for the Telework Program and agrees to comply with all of its provisions regardless of whether they are expressly stated in this Agreement.ÿ ÿ

I have read the foregoing agreement and agree to comply with its provisions. ÿ

ÿ ÿ ÿ

_________________________________ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ __________________________
Employeeÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Date

ÿ ÿ ÿ

_________________________________ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ __________________________
Supervisorÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Date

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