Enclosure (2) to COMDTINST 12630.1
Disclosure
I shall protect U.S. Coast Guard and Government records from unauthorized disclosure or damage
and will comply with requirements of the Privacy and Freedom of Information Act Manual,
COMDTINST M5260 (series). I will not store, gain access to, or use classified information at a
home work site.
Standards of Conduct
I understand the United States Coast Guard standards of conduct continue to apply to me while I
work at my telecommuting site(s) in accordance with COMDINST M5370.8 (series).
Cancellation
After appropriate notice to my supervisor, I may resume working my regular schedule at my
official duty station. After appropriate notice to me, the U.S. Coast Guard may instruct me to
resume working my regular schedule at my official duty station, if my performance declines, the
project fails to benefit organizational needs, the need for in-office interaction between me and my
coworkers or customers arises, or for other work-related reasons. The U.S. Coast Guard will follow
any applicable administrative or negotiated telecommuting procedures.
Other Action
Nothing in this agreement precludes the U.S. Coast Guard from taking any appropriate disciplinary
or adverse action against me if I fail to comply with the provisions of this agreement.
Employee's Signature and Date: _______________________________
Supervisor's Signature and Date: _____________________________
Cancellation Date
If this agreement is canceled please indicate date of cancellation below:
Cancellation Date: ________________________________________
Employee's Acknowledgment and Date: __________________________
Supervisor's Signature and Date: ________________________________
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