SECURITY CHECKLIST Information Sensitivity Has the employee been trained to recognize and handle sensitive but unclassified/sensitive security information (SBU/SSI) Yes No N/A in a telework environment? Has a locked file cabinet been identified/provided to secure SBU/SSI files, records, papers or electronic media? Yes No N/A If SBU/SSI. Note: Employee Owned Equipment cannot be used. A review of the job duties and responsibilities has been completed. Yes No If yes, review completed No issues related to level of sensitivity were noted from the review. Yes No – WorkStation Configuration Employee has been issued the following equipment specifically for the purpose of Telework: Telework Connection Requirements Computer Telephone/modem line Software Modem Direct Internet/Wireless Connectivity Printer laptops that a telework employee uses at the official Other duty station and alternate work locations. N/A Government-Owned Equipment (GOE), refers to agency owned equipment which is Not applicable issued specifically for telework purposes this does not include equipment such as – Please return this form to: <Agency/Mission Area/Staff Office information here> Attention: Telework Program Coordinator
SECURITY CHECKLIST Information Sensitivity Has the employee been trained to recognize and handle sensitive but unclassified/sensitive security information (SBU/SSI) in a telework environment? Yes No N/A Has a locked file cabinet been identified/provided to secure SBU/SSI files, records, papers or electronic media? Yes No N/A If SBU/SSI. Note: Employee Owned Equipment cannot be used. A review of the job duties and responsibilities has been completed. Yes No If yes, review completed – No issues related to level of sensitivity were noted from the review. Yes No WorkStation Configuration Employee has been issued the following equipment specifically for the purpose of Telework: Telework Connection Requirements Computer Telephone/modem line Software Modem Direct Internet/Wireless Connectivity Printer Other N/A Government-Owned Equipment (GOE), refers to agency owned equipment which 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. Not applicable Please return this form to: <Agency/Mission Area/Staff Office information here> Attention: Telework Program Coordinator
AD-3018%20Telework%20Agreement.docx