Form Ad 3018 – Fill Out and Use This PDF

The AD-3018 form is a comprehensive agreement used by the United States Department of Agriculture (USDA) to facilitate telework arrangements. It covers a variety of necessary details, including agreement type, employee information, telework category and schedule, as well as prerequisites like telework training completion and performance requirements. If you are a USDA employee considering or currently participating in telework, ensure you carefully review and understand each section of this form. Click the button below to initiate or revise your telework agreement using the AD-3018 form.

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Form Ad 3018 PDF Details

In an era where flexibility and work-life balance have become central to workplace culture, the United States Department of Agriculture (USDA) has embraced telework as a means to meet these needs while ensuring operational efficiency and continuity. Central to facilitating this modern work arrangement is the Form AD-3018, a comprehensive document that delineates the terms of telework agreements between the USDA, its employees, and supervisors. This form captures vital employee information, establishes the parameters of the telework agreement—be it new, a revision, or an opt-out—and specifies the nature of the telework category, location, and schedule. Moreover, it lays out essential prerequisites such as the completion of telework training by both the employee and their supervisor, performance criteria, and the expectation for work to be performed during unscheduled telework situations. The form also addresses critical administrative considerations, including time and attendance recording, office space requirements, data protection, and compliance with legal provisions like the Federal Employee's Compensation Act (FECA) and the Privacy Act of 1974. Additionally, it acknowledges the need for annual review and discussion of the telework arrangement, ensuring that it remains relevant and beneficial to all parties involved. For those opting out, the form provides space to document this choice, emphasizing the voluntary nature of telework participation. Finally, the AD-3018 form ties together the operational, administrative, and compliance aspects of teleworking, making it a cornerstone of the USDA's telework program.

Question	Answer
Form Name	Form Ad 3018
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	30-minute, 55a, Teleworking, 1974

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USDA Telework Agreement

Agreement Type

New

Revision

Opt Out

Agreement Date

Employee Information

First Name

Middle Initial

Last Name

Mission Area/Agency/Staff Office

Organization/Division

Employee Tour of Duty

Standard

Compressed (5/4-9)

Compressed (4-10)

Flexible

Other

Employee Work Schedule

Other

Full-Time

Part-Time

Intermittent

Seasonal

Employee Appointment Type

Full-Time

Part-Time

Intermittent

Seasonal

Other

Employee's Continuity of Operations Plan Status

The employee has been designated as a team member of the Department's Continuity of Operations Plan (COOP). The employee agrees to follow the procedures established for reporting for duty when a COOP plan is activated. The employee understands that during any period that USDA is operating in a COOP status, the plan shall supersede any telework policy agreement.

Emergency Essential Mission Critical N/A

Requested Telework Category

Telework Location

Regular/Recurring

Situational/Non-scheduled

Residence

Satellite Office

Telework Center

Designated Telework Schedule

Week 1:	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Week 2:	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday

Employee has completed required Telework Training:	Yes	Date Completed:
Supervisor has completed required Telework Training:	Yes	Date Completed:

Estimated total number of commuting miles saved per pay period:		Per year:

Form AD-3018 (Rev. 2 1/2018)

1.Employee requests participation in the program and will adhere to the applicable guidelines, policies and law. Agency concurs with employee participation and agrees to adhere to the applicable guidelines, policies, and law.

2.To be considered telework ready, employees must have an approved core or situational telework agreement in place, in addition to being available to work, including for professional development activities, having the appropriate equipment, or other means necessary to be able to perform work and stay connected.

3.Employee's most recent performance rating must be at least equivalent to “fully successful."

4.Employee understands that unscheduled telework or unscheduled leave must be used with supervisory notification during periods of unscheduled telework authorization due to weather or other emergencies. An employee performing unscheduled or regularly scheduled telework: 1) is expected to work all regularly scheduled hours on days when unscheduled telework is announced or to request unscheduled leave from the supervisor; and 2) is expected to work all regularly scheduled hours when unscheduled telework is announced and weather-related delayed arrival or early departure is authorized or request unscheduled leave from the supervisor.

5.Employee agrees to follow policy for requesting and obtaining supervisory approval of leave.

6.Employee's time and attendance (T/A) for all official duty time spent in a teleworking status will be recorded using the proper telework time code.

7.Employee's official tour of duty must include at least a 30-minute uncompensated lunch.

8.Employee understands requirements for an adequate and safe office space and that these requirements must be met.

9.Employee will apply approved safeguards to protect Government records from unauthorized disclosure or damage and will comply with the provisions set forth in the Privacy Act of 1974 (5 United States Code, Section 552a).

10.Employee is covered under the Federal Employee's Compensation Act (FECA)/Federal Tort Claims Act (FTCA) in the course of performing official duties at the alternate work.

11.Employee understands that telework is not a substitute for dependent care (child care or elder care) while performing official duties in a residential office and that appropriate arrangements must be made to accommodate children and adults who cannot care for themselves.

12.This telework agreement shall correspond with the employee's approved transit subsidy benefits. It is the employee's responsibility to adjust and re-certify their transit subsidy authorizations to ensure alignment with this telework agreement.

13.This telework agreement should be reviewed and discussed between the employee and supervisor on an annual basis.

For Employees Who Opt Out

I fully understand that I am eligible to participate in USDA's Telework Program. I acknowledge that I have been notified of my status, and at this time I voluntarily decline to participate in telework in any capacity.

I understand that I may revisit my decision to participate in the Telework Program at any time, provided that I meet the eligibility and suitability requirements and complete a revised telework agreement form.

To be Completed by Supervisor

Approved

Disapproved

Returned for Correction

Reason for Disapproval:

Position duties require physical presence on a daily basis.

Position duties require access to and/or use of specialized equipment on a daily basis located only at the traditional work site.

Position duties require access to the handling of classified material on a daily basis.

Employee has received a less than fully successful performance rating and/or been placed on a PIP within the past 12 months.

Permanent Ineligibility pursuant to telework status and Departmental regulation.

Form AD-3018 (Rev. 2 1/2018)

Signatures

Signing this form constitutes a telework agreement between the USDA, the employee, and the approving supervisor.

Employee's Signature	Date Signed
Supervisor's Signature	Date Signed

Telework ProgramDate Signed Coordinator's Signature

Please Return this Form to:

Mission Area/Agency/

Staff Office:

	Attention Telework	Date
	Program Coordinator:	Date
	Program Coordinator:

Security and Work Equipment Checklist

Information Security

Has the employee been trained to recognize and handle controlled unclassified information (CUI) in a telework environment?

Has a locked file cabinet been identified/provided to secure sensitive CUI files, records, papers, or electronic media?

A review of the job duties and responsibilities has been completed.

Issues related to level of sensitivity were noted from the review.

Work Station Configuration

	Yes		No
	Yes		No
	Yes		No
	Yes		No
	Yes		No
	Yes		No
	Yes		No

Employee has been issued the following government furnished equipment (GFE) specifically for the purpose of telework:

GFE refers to agency/staff office owned equipment that is issued specifically for telework purposes. This does not include equipment such as laptops that a telework employee uses at the official duty station and alternate work locations.

	Computer	Software		Modem	Printer
	Cell Phone	Other			N/A
	Cell Phone	Other			N/A

Telework Connection Requirements
	Telephone/Modem Line		Direct Internet/Wireless Connectivity		N/A
	Telephone/Modem Line		Direct Internet/Wireless Connectivity		N/A

Form AD-3018 (Rev. 2 1/2018)

How to Edit Form Ad 3018 Online for Free

SBU can be filled in online easily. Just make use of FormsPal PDF editing tool to do the job right away. The editor is consistently maintained by our team, receiving new features and becoming even more convenient. This is what you'd need to do to begin:

Step 1: Firstly, access the editor by pressing the "Get Form Button" at the top of this site.

Step 2: When you open the editor, you will get the form prepared to be filled out. Apart from filling in different blanks, you can also do other things with the file, such as putting on custom words, editing the original textual content, inserting images, affixing your signature to the document, and a lot more.

This form will require particular details to be filled in, therefore make sure you take your time to type in exactly what is expected:

1. You will want to complete the SBU properly, so be mindful while filling out the sections containing these blank fields:

2. Just after performing the last part, go to the subsequent part and fill in the essential particulars in these blank fields - The employee has been designated, Emergency Essential, Mission Critical, Requested Telework Category, Telework Location, RegularRecurring, SituationalNonscheduled, Residence, Satellite Office, Telework Center, Week, Monday, Tuesday, Wednesday, and Thursday.

3. This stage is usually easy - fill out every one of the form fields in I fully understand that I am, I understand that I may revisit my, To be Completed by Supervisor, Approved, Disapproved, Returned for Correction, Reason for Disapproval, Position duties require physical, Position duties require access to, Position duties require access to, Employee has received a less than, Permanent Ineligibility pursuant, and Form AD Rev in order to finish the current step.

4. The fourth paragraph comes with all of the following fields to consider: Employees Signature, Supervisors Signature, Telework Program Coordinators, Mission AreaAgency Staff Office, Attention Telework Program, Information Security, Date Signed, Date Signed, Date Signed, Date, Please Return this Form to, Security and Work Equipment, Has the employee been trained to, and Yes.

People often make mistakes while filling in Mission AreaAgency Staff Office in this area. Ensure that you re-examine everything you type in here.

5. This very last stage to submit this PDF form is essential. You must fill out the necessary blanks, for instance Has a locked file cabinet been, A review of the job duties and, Issues related to level of, Work Station Configuration, Yes, Yes, Yes, Employee has been issued the, GFE refers to agencystaff office, Modem, Printer, Computer, Cell Phone, Software, and Other, prior to using the form. Failing to do it could result in an incomplete and possibly nonvalid document!

codified completion process detailed (step 5)

Step 3: Immediately after taking another look at the form fields, click "Done" and you're good to go! Join us today and instantly access SBU, set for download. Every single modification made is handily kept , meaning you can modify the document later when necessary. We don't share or sell any details you enter whenever completing forms at our website.

Form Ad 3018 – Fill Out and Use This PDF

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