Table of Contents

1. Guiding Principles
2. Questions and Answers Regarding Work and Family Life Authority and Responsibility
3. Alternative Work Schedules (AWS)
4. Leave Options
5. Part-time Employment/Job Sharing
6. Flexiplace
7. Dependent Care
8. Appendix A—Glossary
9. Appendix B—Flexiplace Project
10. Appendix C—Sample Employee/Supervisor Checklist
11. Appendix D—USDA Work and Family Life Report on Focus Group Interviews

Appendix C—Flexiplace Project

Sample Employee/Supervisor Checklist

The following checklist is designed to ensure that employees participating in flexiplace are properly oriented to the policies and procedures of the project.

1. Employee has read guidelines outlining policies and procedures for flexiplace participation.

Date: _______________

2. Equipment has been issued to the employee and has been documented.

Issue Date: _______________
Documented Date: _______________
Computer _______________
Modem _______________
Fax machine _______________
Telephone _______________
Desk _______________
Chair _______________
Other _______________

3. Policies and procedures for care of equipment issued by the agency have been explained and are clearly understood.

Date: _______________

4. Policies and procedures covering classified, secure, and privacy act data have been discussed and are clearly understood.

Date: _______________

5. Requirements for an adequate and safe office space and/or area have been discussed and certified.

Date: _______________

6. Performance expectations have been discussed and are clearly understood.

Date: _______________

7. Employee understands that participation may be terminated by supervisor at any time.

Date: _______________

8. Employee has participated in USDA flexiplace training.

Date: _______________

Supervisor signature: _______________
Date: _______________
Employee signature: _______________
Date: _______________