DD Form 2946 "Department of Defense Telework Agreement"

What Is DD Form 2946?

This is a form that was released by the U.S. Department of Defense (DoD) on December 1, 2011. The form, often mistakenly referred to as the DA Form 2946, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DoD.

Form Details:

  • A 7-page document available for download in PDF;
  • The latest version available from the Executive Services Directorate;
  • Editable, printable, and free to use;
  • Easy online filing.

Download an up-to-date fillable DD Form 2946 down below in PDF format or browse hundreds of other DoD Forms compiled in our online library.

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Download DD Form 2946 "Department of Defense Telework Agreement"

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DEPARTMENT OF DEFENSE
TELEWORK AGREEMENT
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 113, Secretary of Defense; DoD Instruction 1035.01, Telework Policy.
PRINCIPAL PURPOSE(S): Information is collected to register individuals as participants in the DoD alternative workplace program; to manage and
document the duties of participants; and to fund, evaluate and report on program activity. The records may be used by Information Technology offices to
determine equipment needs, to ensure appropriate safeguards are in place to protect government information, and for assessing and managing
technological risks and vulnerabilities.
ROUTINE USE(S): None.
DISCLOSURE: Voluntary; however, failure to provide the requested information may result in your inability to be a participant in the telework program.
TERMS OF TELEWORK AGREEMENT
The terms of this agreement must be read in conjunction with
8. Teleworkers may be required to return to the regular worksite on scheduled
Department of Defense (DoD) telework policy, available on the
telework days based on operational requirements. In situations where the employee
DoD Issuances Web Site at http://www.dtic.mil/whs/directives/ or
is called to return to the office outside normal work hours, the recall shall be handled
on the Civilian Personnel Management Service Web Site at
in accordance with established policy and/or collective bargaining agreements, if
www.cpms.osd.mil and any additional guidance provided by the
applicable.
employing organization. Signatories certify they will abide by this
agreement, DoD telework policy, and all supplemental terms
9. If the employee uses Government-furnished equipment (GFE), the employee will
established by the employing organization.
use and protect the equipment in accordance with the DoD Component's
procedures. GFE will be serviced and maintained by the Government.
1. Work schedules and hours of duty may be modified as
necessary, but are subject to local management procedures and
10. The employee agrees to comply with the terms of computer software license
and copyright agreements, computer virus and protection requirements and
approval and/or collective bargaining agreement requirements. A
copy of the employee's approved work schedule should be kept on
procedures.
file with the signed telework agreement. In emergency situations
(as indicated in Section I, Block 12 of the telework agreement), the
11. No classified documents (hard copy or electronic) may be taken to, or
teleworker's work hours may be subject to change. Emergency
created at, an employee's alternative worksite. If classified telework is
schedules will be set based on mission needs.
authorized at an approved alternative secure location, teleworkers must comply with
the procedures established by DoD 5200.01-R and the DoD Component regarding
2. If the employee reports to the regular worksite at least twice
such work. For Official Use Only (FOUO) and controlled unclassified
information (CUI) data may be taken to alternative worksites if necessary
per pay period, the regular worksite is the official worksite as
defined in part 531.605, subpart F of title 5, Code of Federal
precautions are taken to protect the data, consistent with DoD regulations.
Regulations.
12. When CUI including competition sensitive or source selection data is authorized
3. If the employee does not report to the regular worksite at least
for use at the telework location, criteria for the proper encryption and safeguarding of
twice each biweekly pay period, the official worksite is the location
such information and data must be consistent with Enclosure 3, subparagraphs 3.f.
of the employee's telework site. Exceptions to the twice each
(1) through (3) of DoDI 1035.01, Telework Policy. Component specific instructions
biweekly pay period requirement may be made during
must be included in the space allowed for Component specific comments or cite the
emergencies (including a pandemic) and for short-term situations
appropriate Component references that contain these instructions.
(e.g., special projects, medical accommodation).
4. All pay (to include locality pay or local market supplement),
13. The supervisor will determine how frequently, if at all, backup copies of data onto
leave, and travel entitlements are based on the employee's official
network drives or removable disks must be made to protect against loss of data. The
worksite as documented on a Notice of Personnel Action.
supervisor may also require the employee to periodically send backup copies to the
main work facility.
5. Prior to signing this Telework Agreement, the supervisor and
employee will discuss:
14. The employee may be reimbursed for authorized expenses (e.g., installation of
a. Office procedures (e.g., procedures for reporting to duty,
broadband or telephone lines) incurred while conducting business for the
procedures for measuring and reviewing work, time and
Government, as provided by statute and implementing regulations and as articulated
attendance, procedures for maintaining office communications);
in this agreement. (Approved authorizations are filed with this agreement.)
b. Safety, technology and equipment requirements; and
c. Performance expectations.
15. The employee will apply approved safeguards to protect Government
records from unauthorized disclosure or damage and will comply with Privacy
6. Employee will not work in excess of the prescheduled tour of
Act requirements set forth in the Privacy Act of 1974, and codified at section
duty (e.g., overtime, holiday work, or Sunday work) unless he or
552a of title 5, United States Code. The use of personal email accounts for
she receives permission from the supervisor. By signing this form,
transmission of Personally Identifiable information (PII) is strictly prohibited.
PII
the employee acknowledges that failure to obtain proper approval
may only be emailed between government email accounts and must be
encrypted
for overtime work may result in cancellation of the telework
and digitally signed.
agreement and may also include appropriate disciplinary action.
16. The DoD Component may inspect the home worksite, by appointment only, if
the DoD Component has reason to suspect that safety standards are not being
7. If designated employee (as indicated in Section I, Block 12 of
met and GFE is not being properly maintained.
this agreement) is unable to work due to illness or dependent care
responsibilities, the employee must take appropriate leave.
Supervisors may, on a case-by-case basis, administratively excuse
17. The DoD Component will not be responsible for operating, maintenance, or any
the designated teleworker from teleworking if circumstances, such
other costs (e.g., utilities) associated with the use of the employee's residence.
as a power failure or weather related emergency, prevent the
employee from working at the telework site. To the extent
18. The DoD Component is not liable for damages to an employee's personal or
practicable, managers will include a description of emergency
real property while the employee is working at home, except to the extent the
duties with this agreement if emergency duties are different from
Government is held liable by the Federal Tort Claims Act or from claims arising
the employee's prescribed duties and responsibilities.
under the Military Personnel and Civilian Employees Claims Act.
Terms and Conditions
DD FORM 2946, DEC 2011
PREVIOUS EDITION IS OBSOLETE.
Adobe Designer 9.0
DEPARTMENT OF DEFENSE
TELEWORK AGREEMENT
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 113, Secretary of Defense; DoD Instruction 1035.01, Telework Policy.
PRINCIPAL PURPOSE(S): Information is collected to register individuals as participants in the DoD alternative workplace program; to manage and
document the duties of participants; and to fund, evaluate and report on program activity. The records may be used by Information Technology offices to
determine equipment needs, to ensure appropriate safeguards are in place to protect government information, and for assessing and managing
technological risks and vulnerabilities.
ROUTINE USE(S): None.
DISCLOSURE: Voluntary; however, failure to provide the requested information may result in your inability to be a participant in the telework program.
TERMS OF TELEWORK AGREEMENT
The terms of this agreement must be read in conjunction with
8. Teleworkers may be required to return to the regular worksite on scheduled
Department of Defense (DoD) telework policy, available on the
telework days based on operational requirements. In situations where the employee
DoD Issuances Web Site at http://www.dtic.mil/whs/directives/ or
is called to return to the office outside normal work hours, the recall shall be handled
on the Civilian Personnel Management Service Web Site at
in accordance with established policy and/or collective bargaining agreements, if
www.cpms.osd.mil and any additional guidance provided by the
applicable.
employing organization. Signatories certify they will abide by this
agreement, DoD telework policy, and all supplemental terms
9. If the employee uses Government-furnished equipment (GFE), the employee will
established by the employing organization.
use and protect the equipment in accordance with the DoD Component's
procedures. GFE will be serviced and maintained by the Government.
1. Work schedules and hours of duty may be modified as
necessary, but are subject to local management procedures and
10. The employee agrees to comply with the terms of computer software license
and copyright agreements, computer virus and protection requirements and
approval and/or collective bargaining agreement requirements. A
copy of the employee's approved work schedule should be kept on
procedures.
file with the signed telework agreement. In emergency situations
(as indicated in Section I, Block 12 of the telework agreement), the
11. No classified documents (hard copy or electronic) may be taken to, or
teleworker's work hours may be subject to change. Emergency
created at, an employee's alternative worksite. If classified telework is
schedules will be set based on mission needs.
authorized at an approved alternative secure location, teleworkers must comply with
the procedures established by DoD 5200.01-R and the DoD Component regarding
2. If the employee reports to the regular worksite at least twice
such work. For Official Use Only (FOUO) and controlled unclassified
information (CUI) data may be taken to alternative worksites if necessary
per pay period, the regular worksite is the official worksite as
defined in part 531.605, subpart F of title 5, Code of Federal
precautions are taken to protect the data, consistent with DoD regulations.
Regulations.
12. When CUI including competition sensitive or source selection data is authorized
3. If the employee does not report to the regular worksite at least
for use at the telework location, criteria for the proper encryption and safeguarding of
twice each biweekly pay period, the official worksite is the location
such information and data must be consistent with Enclosure 3, subparagraphs 3.f.
of the employee's telework site. Exceptions to the twice each
(1) through (3) of DoDI 1035.01, Telework Policy. Component specific instructions
biweekly pay period requirement may be made during
must be included in the space allowed for Component specific comments or cite the
emergencies (including a pandemic) and for short-term situations
appropriate Component references that contain these instructions.
(e.g., special projects, medical accommodation).
4. All pay (to include locality pay or local market supplement),
13. The supervisor will determine how frequently, if at all, backup copies of data onto
leave, and travel entitlements are based on the employee's official
network drives or removable disks must be made to protect against loss of data. The
worksite as documented on a Notice of Personnel Action.
supervisor may also require the employee to periodically send backup copies to the
main work facility.
5. Prior to signing this Telework Agreement, the supervisor and
employee will discuss:
14. The employee may be reimbursed for authorized expenses (e.g., installation of
a. Office procedures (e.g., procedures for reporting to duty,
broadband or telephone lines) incurred while conducting business for the
procedures for measuring and reviewing work, time and
Government, as provided by statute and implementing regulations and as articulated
attendance, procedures for maintaining office communications);
in this agreement. (Approved authorizations are filed with this agreement.)
b. Safety, technology and equipment requirements; and
c. Performance expectations.
15. The employee will apply approved safeguards to protect Government
records from unauthorized disclosure or damage and will comply with Privacy
6. Employee will not work in excess of the prescheduled tour of
Act requirements set forth in the Privacy Act of 1974, and codified at section
duty (e.g., overtime, holiday work, or Sunday work) unless he or
552a of title 5, United States Code. The use of personal email accounts for
she receives permission from the supervisor. By signing this form,
transmission of Personally Identifiable information (PII) is strictly prohibited.
PII
the employee acknowledges that failure to obtain proper approval
may only be emailed between government email accounts and must be
encrypted
for overtime work may result in cancellation of the telework
and digitally signed.
agreement and may also include appropriate disciplinary action.
16. The DoD Component may inspect the home worksite, by appointment only, if
the DoD Component has reason to suspect that safety standards are not being
7. If designated employee (as indicated in Section I, Block 12 of
met and GFE is not being properly maintained.
this agreement) is unable to work due to illness or dependent care
responsibilities, the employee must take appropriate leave.
Supervisors may, on a case-by-case basis, administratively excuse
17. The DoD Component will not be responsible for operating, maintenance, or any
the designated teleworker from teleworking if circumstances, such
other costs (e.g., utilities) associated with the use of the employee's residence.
as a power failure or weather related emergency, prevent the
employee from working at the telework site. To the extent
18. The DoD Component is not liable for damages to an employee's personal or
practicable, managers will include a description of emergency
real property while the employee is working at home, except to the extent the
duties with this agreement if emergency duties are different from
Government is held liable by the Federal Tort Claims Act or from claims arising
the employee's prescribed duties and responsibilities.
under the Military Personnel and Civilian Employees Claims Act.
Terms and Conditions
DD FORM 2946, DEC 2011
PREVIOUS EDITION IS OBSOLETE.
Adobe Designer 9.0
TERMS OF TELEWORK AGREEMENT
(Continued)
22. Either the employee or the supervisor can cancel the telework
19. Employees paid from appropriated funds are covered under the
agreement. When possible, advance written notice should be provided.
Federal Employee's Compensation Act if injured in the course of
Management will terminate the telework agreement should the
performing official duties while at the official alternative worksite.
employee's performance or conduct not meet the prescribed standard or
Employees paid from nonappropriated funds are covered under the
the teleworking arrangement fail to meet organizational needs.
Longshore and Harbor Workers' Compensation Act. Any accident or
injury occurring at the alternative workplace must be brought to the
23. The employee continues to be covered by DoD Component
immediate attention of the supervisors who will investigate all reports
standards of conduct while working at the alternative worksite.
as soon as practical following notification.
24. The employee has assessed the telework location against the
20. The employee acknowledges that telework is not a substitute for
attached safety checklist and certifies the location meets all safety
dependent care.
requirements.
21. The employee acknowledges that telework is a discretionary
25. DoD Component-specific conditions may be included below.
alternative workplace arrangement. The employee may be required to
work at the regular worksite on scheduled telework day(s) if necessary
to accomplish the mission.
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COMPONENT-SPECIFIC TERMS AND CONDITIONS
Terms and Conditions (Back)
DD FORM 2946, DEC 2011
COMPONENT-SPECIFIC TERMS AND CONDITIONS
(Continued)
Terms and Conditions (Continued)
DD FORM 2946, DEC 2011
DEPARTMENT OF DEFENSE
TELEWORK AGREEMENT
(Read Privacy Act Statement and Terms of Agreement before completing this form.)
SECTION I - This document constitutes the terms of the telework agreement for:
1. EMPLOYEE (Last Name, First, Middle Initial)
2. OFFICIAL JOB TITLE
3. PAY PLAN/SERIES/GRADE/PAY BAND
4. ORGANIZATION
5. REGULAR OFFICIAL WORKSITE (Street, Suite Number, City,
6. ALTERNATE WORKSITE ADDRESS (Street, Apartment Number,
State and ZIP Code)
City, State and ZIP Code) (May be TBD under emergency situations)
7. ALTERNATE WORKSITE TELEPHONE NUMBER (Include Area
8. ALTERNATE WORKSITE EMAIL ADDRESS (Address for official
Code)
emails if different from office email address. Identification of personal
email address is not required.)
10. TOUR OF DUTY (X one) (Attach copy of biweekly work schedule)
9. TELEWORK ARRANGEMENT IMPLEMENTATION DATES
(Agreement should be revalidated at least once every 2 years)
FIXED
a. START (YYYYMMDD)
b. END (YYYYMMDD)
FLEXIBLE
COMPRESSED
11. TELEWORK ARRANGEMENT (X one)
REGULAR AND RECURRING
SITUATIONAL
Regular and Recurring Telework Schedule:
Number of Days per Week or Pay Period
Days of the Week (e.g., Mon, Wed, Thur)
All employees who are authorized to telework on a Regular and Recurring or Situational basis to include emergency situations shall have a
telework agreement in place.
12. CONTINUITY OF OPERATIONS DURING EMERGENCY SITUATIONS
Employee is expected to telework for the duration of an emergency pursuant to:
1) Component policy; 2) a pandemic; 3) when the regular worksite is closed or closed to the public due to natural or manmade emergency
situations (e.g., snowstorm, hurricane, act of terrorism, etc.); or 4) when Government offices are open with the option for unscheduled telework
when weather conditions make commuting hazardous, or similar circumstances compromise employee safety. Employees unable to work due to
personal situations (e.g., illness or dependent care responsibilities), must take appropriate leave (e.g., annual or sick). If the worksite is closed or
closed to the public, the employee may be granted administrative leave, on a case-by-case basis, when other circumstances (e.g., power failure)
prevent the employee from working at the telework site. Managers will include a description of emergency duties with this agreement if emergency
duties are different from the employee's prescribed duties and responsibilities.
14. DATE (YYYYMMDD)
13. SUPERVISOR OR AUTHORIZED MANAGEMENT OFFICIAL (Name and Signature)
I also verify that I have completed approved telework training.
15. EMPLOYEE SIGNATURE
16. DATE (YYYYMMDD)
I also verify that I have completed approved telework training.
DD FORM 2946, DEC 2011
Page 1 of 4 Pages
SECTION II - SAFETY CHECKLIST
(X)
SAFETY FEATURE
YES
NO
1. Temperature, ventilation, lighting, and noise levels are adequate for maintaining a home office.
2. Electrical equipment is free of recognized hazards that would cause physical harm (frayed,
exposed, or loose wires; loose fixtures; bare conductors; etc.).
3. Electrical system allows for grounding of electrical equipment (three-prong receptacles).
4. Office (including doorways) is free of obstructions to permit visibility and movement.
5. File cabinets and storage closets are arranged so drawers and doors do not enter into walkways.
6. Phone lines, electrical cords, and surge protectors are secured under a desk or alongside a baseboard.
7. If material containing asbestos is present, it is in good condition.
8. Office space is free of excessive amount of combustibles, floors are in good repair, and
carpets are well secured.
I verify that this safety checklist is accurate and that my home office is a reasonably safe place to work.
9. EMPLOYEE SIGNATURE
10. DATE (YYYYMMDD)
DD FORM 2946, DEC 2011
Page 2 of 4 Pages
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