Remote Work Request Form

Remote Work Request Form — Form Fields

This hr template includes 11 fields. Request approval for remote or hybrid work arrangements with schedule and workspace details. Free to customize and use on ZenBuild.

• Employee Name (text, required)
• Job Title (text, required)
• Department (text, required)
• Manager Name (text, required)
• Request Type (dropdown selection, required) — options: Fully Remote, Hybrid (2-3 days remote), Temporary Remote (specific dates)
• Proposed Start Date (text, required)
• Proposed End Date (text, optional) — Leave blank if requesting permanent arrangement
• Preferred Remote Days (checkboxes, optional) — options: Monday, Tuesday, Wednesday, Thursday, Friday — For hybrid requests
• Reason for Request (long text, required)
• Do you have a suitable home workspace? (multiple choice, required) — options: Yes, No — Need Equipment — Quiet space with reliable internet and ergonomic setup
• How will you maintain productivity & communication? (long text, required)