Remote Work Request "*" indicates required fields Remote work requests are valid for 90 days. A new request must be submitted every 90 days.Name* First Last Email* Department or Unit* Supervisor Name* First Last Supervisor Email* Enter Email Confirm Email Please make sure the email entered is correct, as this process will operate primarily via email.Description of request as applicable to Family Medical Leave Act or COVID-19 public health crisis:*Optional file upload Drop files here or Select files Max. file size: 10 MB. You may attach multiple documents up to 12 mb per file. Remote work policy and terms* I understand the following conditions apply to working from home and agree with them.If authorized to work remotely, employee’s duties, obligations, responsibilities, and conditions of employment with SAU will be unaffected by working remotely. Likewise, salary, retirement benefits, and University-sponsored insurance coverage will remain unchanged by the remote-work arrangement. All work hours, overtime compensation, and leave usage must conform to Arkansas statutes and applicable federal laws. Meetings with clients, customers, the public, or professional colleagues on behalf of the institution at private residences are prohibited. The individual authorized to work remotely is responsible for the cost of maintenance, repair, and operation of personal equipment not provided by SAU and will not be reimbursed for supplies regularly available at the main office, expenses for phone bills from a personal phone, or expenses for internet usage. Typed full name* Your typed named above constitutes a digital signature Δ