Remote Work Participation Agreement Form - CU Anschutz

This form only needs to be completed if you are:
    • A 12-month faculty or staff member (Classified, University, and 9-Month Temporary) who has been assigned an office or has access to a workspace on campus and is requesting to work full/part-time remotely.
    • A 12-month faculty or staff member (Classified, University, and 9-Month Temporary)  who lives and works outside of Colorado or the USA.
    • This form should be submitted only for remote work that is regularly scheduled (e.g. - 1 or more days per week).
  • This form should not be submitted if your remote work arrangement is not regularly scheduled, is ad hoc, or is on a very occasional basis.
  • Student Employees are not required to complete this form.
  • Please use this form to submit a new remote work request for your current position. This form is not applicable to another role. A new form will be required if filling out for another role.
  • If you wish to amend an existing agreement, you are required to submit this form again.
  • Remote work participation agreements are subject to re-evaluation by the Supervisor and are subject to review by the Appointing Authority.
  • All submitted forms are reviewed by your Supervisor and Department Approver/Unit Human Resources Business Partner for acknowledgment. You will receive a full copy of the acknowledgment via email.

If you are submitting this form as part of an accommodation request under the Americans with Disabilities Act (ADA), you must first contact

For additional questions, please reach out to your department's Human Resources Business Partner. 

Please note: The decision on 12-month Faculty for CU Anschutz was made together between the leadership of the schools and administration. 

Submission of these forms will aid in university space planning and will ensure the university has documentation of all employees who are working remotely on a regular basis.