Remote Work Request

To the Director
                                          [Company name]
                                          [Director name]
                                          from [Employee name]
                                          [Position]

                                      REQUEST
                       to switch to remote work

Please switch me to remote work starting from [date] Family reasons.

I undertake to:
- perform my job duties in full;
- stay reachable during working hours;
- ensure appropriate conditions for remote work.

12/04/2026                                                    _________________ / [Employee name] /
                                                                                    (signature)