Flexible Work and Sustainability Reporting Form
This form is to be used to document Supervisor Initiated Flexible Work Schedules.
Supervisor Name:   Supervisor Email:   Supervisor SUID:   Job Title:   Department:
Employee Name	Employee SUID	Job title	Position No.	Schedule Start Date	Type of Schedule
					Select Type of Schedule Compressed Work Week Telecommuting Work Week Hybrid Work Week Other
					Select Type of Schedule Compressed Work Week Telecommuting Work Week Hybrid Work Week Other
					Select Type of Schedule Compressed Work Week Telecommuting Work Week Hybrid Work Week Other
					Select Type of Schedule Compressed Work Week Telecommuting Work Week Hybrid Work Week Other
					Select Type of Schedule Compressed Work Week Telecommuting Work Week Hybrid Work Week Other
					Select Type of Schedule Compressed Work Week Telecommuting Work Week Hybrid Work Week Other
					Select Type of Schedule Compressed Work Week Telecommuting Work Week Hybrid Work Week Other
					Select Type of Schedule Compressed Work Week Telecommuting Work Week Hybrid Work Week Other
					Select Type of Schedule Compressed Work Week Telecommuting Work Week Hybrid Work Week Other
					Select Type of Schedule Compressed Work Week Telecommuting Work Week Hybrid Work Week Other
By completing this form and selecting submit, it is assumed that the employee(s) and supervisor have discussed the schedule(s) and that the appropriate   authorizations have been received. Information from this form is sent to flxwk@syr.edu.