Employee Name:	Unit:	Date Effective:
Employee Title:	Terminate Date:
The Virginia Department of Forestry (referred to as “agency”) offers individual employees in authorized positions the opportunity to work alternative work schedules.
SECTION 1 – Alternate Work Schedule Conditions
Authorization is based on the following conditions: This agreement may be terminated or changed at any time for any reason by the agency based on agency needs or if the terms of the agreement are not being met. The employee may cancel this agreement at any time. The supervisor must approve any schedule variations, including holidays, training, meetings, etc. Holidays are provided by the state in 8- or 4-hour increments. Since some VDOF employees work 10-hour days, adjustments are made to work weeks in which holidays occur to account for the difference in hours. The employee needs to select his or her option in conjunction with his or her supervisor prior to the start of the holiday week. During the term of this agreement, the employee‘s day off will remain the same, unless he/she receives permission from his or her supervisor. A new Form 8.5 Alternate Work Schedule will be completed for any long-term or permanent changes in schedule.
SECTION 2 – Alternate Work Schedule
The standard work week for all full-time, classified positions in the VDOF shall consist of five 8-hour days within a traditional Monday to Friday work week between the hours of 8:00 a.m. and 4:30 p.m. unless an alternate work schedule is approved by the employee’s supervisor. Employees authorized to work an alternate work schedule have several schedule options. The alternate work hours must include 8:00 a.m. to 4:30 p.m. If the alternate schedule includes any partial days, the work hours must fall within the standard work hours of 8:00 a.m. to 4:30 p.m. The employee requests authorization to work an alternative work schedule (check one):
Option 1: One-week Schedule: Four 10-hour days per week with alternate days or hours.
Examples: Employee works 6 a.m. – 4:30 p.m.; 7 a.m. – 5:30 p.m.; 8 a.m. – 6:30 p.m.
Option 2: One-week Schedule: Four 9-hour days per week and one 4-hour day per week.
Examples: Employee works 7 a.m. – 4:30 p.m. Monday – Thursday and 8 a.m. – 12 p.m. Friday; 8 a.m. – 5:30 p.m. Tuesday – Friday and 9 a.m. – 1 p.m. Monday.
Option 3: Two-week Schedule: Eight 9-hour days and one 8-hour-day on every other week (This schedule is available only to exempt employees.)
Example for an employee who works eight 9-hour days and one 8-hour day (exempt employees only): Employee works 7 a.m. – 4:30 p.m. Monday – Thursday both weeks and 8 a.m. – 4:30 p.m. the second Friday; 8 a.m. – 5:30 p.m. Tuesday – Friday and 8 a.m. – 4:30 p.m. the first Monday.
Option 4: One-week Schedule: 40 hours per week with an alternate schedule outside of these requirements will be based on agency requirements of the specific position and subject to approval by a member of the Executive Leadership Team.
Regular Schedule:	Work Days:	Work Hours:
SECTION 4 – Employee Agreement
I have read and agree to the terms and conditions outlined in this agreement.
Employee Name (Print)	Employee Signature	Date
SECTION 5 – VDOF Approval
Supervisor Name (Print)	Supervisor Signature	Date
Unit Administrator Name (Print)	Unit Administrator Signature	Date
Original: Human Resources	Copy: Employee	Copy: Immediate Supervisor