List and/or description of duties / tasks to be done remotely
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Working Hours in Remote Workplace
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Note: This serves as Telecommuting Agreement if endorsed by the supervisor, approved by the HR Office, and confirmed by the Administrative Committee (AdCom).
Endorsements/Comments/Signatures of Superiors
Supervisor Endorsements/Comments
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Manager/Dean/Director Endorsements/Comments
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Vice President/President Endorsements/Comments
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Approval of AdCom / AdCom Action Number
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