Remote Work Security Compliance Form

Full Name

Business Email

Department

Date

Remote Work Environment

Primary Remote Work Location

Is your remote work environment private and secure?

Yes No

Do you secure company devices when unattended?

Yes No

Device & Network Security

Devices used for remote work (select all that apply):

Company Laptop Company Desktop Personal Device Mobile Device

Are all devices password-protected and encrypted?

Yes No

Do you connect to company systems via VPN?

Yes No

Is your Wi-Fi network secured with a strong password?

Yes No

Data Handling & Communication

Do you avoid using personal email for company communication?

Yes No

Are you familiar with company policy on handling confidential information remotely?

Yes No

Additional Notes or Comments

Acknowledgement

I acknowledge that I have read and agree to comply with the company’s remote work security policies.