Remote Work Request Form
A request to work from another place is easier to review when the dates and the location are written down. This remote work request form asks for the employee, the start and end dates, the days requested, the work location, the reason, any equipment they would need, and a manager signature. Checking an equipment box does not promise the item. Edit the equipment list, try it, then send one link per request.
Last reviewed November 9, 2026 by FormSign team.
Edit it, try it, then create an account to save and share.
Build for free. Pay once a workflow goes live at 10 submissions or 2 documents sent for signature.
Questions in this template
You
- Employee name (required)
- Email (required)
The request
- Start date (required)
- End date (required)
- Days requested (required)How many working days this request covers.
- Work location (required)Where you plan to work, such as home or another office.
- Reason (required)
Equipment
- Equipment neededOptional. A checked box does not promise the item.Laptop · Monitor · Headset · Keyboard · Other
Manager
- Manager name (required)
- Manager signature (required)
- Date (required)
What is a remote work request form?
A remote work request form is a short record of who wants to work from another location, which dates, and why. Your own approval process stays outside the form.
When to use it
- When someone asks to work from home for a few days.
- When several people request the same week and you want the same questions.
- When a manager should sign the request, not only reply by email.
- When you want each request as a row you can sort by date.
What to include
Who is asking
Employee name and email.
The dates
Start date, end date, and how many days.
Where and why
Work location and a short reason.
Equipment
Optional checkboxes. A checked box records a need. It does not promise the item.
A manager signature and date
So the request is a record.
Why FormSign
Each request becomes a row on your FormSign board, so you can see who asked and for which dates. The starter letter uses each question's label as a placeholder, so a copy of the request matches the form.
This template is a starting point, not legal advice. It records a request to work from another location. It does not set a policy, and it does not promise equipment.
Questions
Does this form decide whether remote work is allowed?
No. It collects the request and a manager signature. You approve or decline it the way you already do.
Does checking equipment mean the company provides it?
No. The boxes only record what the person says they would need. Issuing equipment stays in your usual process.
What belongs in work location?
A plain place, such as home or another office. Do not add a policy statement.
Can I change the equipment list?
Yes. Edit the checkboxes so they match the items your team actually uses.
Do I need an account to try it?
No. Open the template, edit the equipment list and test it. You'll create an account when you want to save it and send it.
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Start with this template
Build for free. Pay once a workflow goes live at 10 submissions or 2 documents sent for signature.