About this template
Managing remote work arrangements requires a clear, organized process to keep teams aligned and operations running smoothly. This Telework Request Form provides a standardized way for employees to formally submit work-from-home requests, including proposed schedules, physical work locations, and justifications for remote days.
Designed for HR professionals and department managers, this template captures all necessary details upfront—from specific days and time intervals to supervisor sign-offs and emergency contact considerations. By centralizing these requests, organizations can easily evaluate feasibility, ensure proper coverage, and maintain clear records of hybrid and remote schedules.
With Doc2Form, you can instantly turn this structured layout into a ready-to-use Google Form. Share it across your organization so employees can submit requests from any device, allowing managers and HR teams to review, track, and approve remote work arrangements efficiently in one place.
Key features
- Collect complete employee and supervisor contact details
- Capture specific remote work schedules and start dates
- Document clear justifications for telecommuting arrangements
- Standardize remote work approvals across departments
- Accessible on desktop, tablet, and mobile devices
Use cases
Employees requesting hybrid or full-time remote work schedules
HR teams tracking and approving company-wide telecommuting policies
Department managers evaluating team coverage and work-from-home consi…
Department managers evaluating team coverage and work-from-home consistency
What this form collects
- Full Name (Short answer)Enter your first and last name.
- Company Email (Short answer)Enter your primary work email address.
- Job Title (Short answer)Enter your current official job title.
- Department (Dropdown)Select the department you currently work in.
- Telework Work Location (Short answer)Specify whether you will be working from home, a co-working space, or another designated location.
- Telecommuting Physical Address (Paragraph)Provide the full address where you will be performing your telework duties.
- Telework Start Date (Date)Select the date you wish to begin your remote work arrangement.
- Telework Schedule Type (Multiple choice)Select the option that best describes your requested telework schedule.
- Telework Days & Time Intervals (Paragraph)Describe the specific days of the week and working hours you plan to maintain.
- Telework Request Purpose (Paragraph)Briefly explain the reason for your telework request and how you will ensure productivity and communication.
- Supervisor Full Name (Short answer)Enter the full name of your direct manager or supervisor.
- Supervisor Email (Short answer)Enter your supervisor's work email address for notification and approval routing.
- Policy Acknowledgment (Paragraph)Please paste a link to your signed policy document or describe your agreement to company remote work guidelines.
FAQ
What is a telework request form?
A telework request form is a digital document used by employees to formally ask for permission to work remotely, detailing their proposed schedule, location, and reason for the request.
Why should companies use a standardized remote work form?
Standardizing requests ensures fair evaluation, helps managers maintain adequate in-office coverage, and creates a clear audit trail of approved remote work arrangements.
Can I customize the questions on this template?
Yes! Once you generate your Google Form via Doc2Form, you can freely add, remove, or edit any questions to match your company's specific remote work policies.
How do supervisors review these requests?
All submissions feed directly into a connected Google Sheet, making it easy for managers and HR personnel to review, track, and approve or deny requests.
Is this form mobile-friendly?
Yes, Google Forms automatically optimize layout and viewing for smartphones, tablets, and desktop computers.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.