--- title: Compassionate Remote Work Request Form Template for Terminal Illness Care | Paperform description: Support employees caring for terminally ill family members with this sensitive remote work request form. Includes hospice coordination, emotional support resources, and bereavement leave planning. url: "https://paperform.co/templates/compassionate-remote-work-request-form" type: static generatedAt: "2026-04-04T00:43:33.882Z" --- [← Back to free form templates](/templates/) ![Compassionate Remote Work Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/compassionate-remote-work-request-form.png) [Preview](https://_preview.paperform.co/ai-template/compassionate-remote-work-request-form) [Use this template for free](/create?ai-template=compassionate-remote-work-request-form) [Remote Work & Hybrid Forms](/templates/category/remote-work/)[Human Resources Forms](/templates/category/hr/) [Healthcare](/templates/industry/healthcare/)[Business](/templates/industry/business/)[Human Resources](/templates/industry/human-resources/) [Office Manager](/templates/role/office-manager/)[HR Manager](/templates/role/hr-manager/)[Manager](/templates/role/manager/)[HR Specialist](/templates/role/hr-specialist/) About this free form template When a family member faces a terminal illness, employees need flexibility and understanding from their employers. This **Compassionate Remote Work Request Form** provides a dignified, structured way for team members to request remote work arrangements during one of life's most difficult experiences. Designed specifically for HR teams and compassionate employers, this template allows employees to outline their remote work needs while coordinating hospice care, accessing emotional support resources, and planning for potential bereavement leave. The form balances operational requirements with genuine empathy, ensuring employees feel supported during an incredibly challenging time. **Key features include:** - Sensitive questions about family situation and care responsibilities - Flexible scheduling options to accommodate medical appointments and care needs - Integration points for Employee Assistance Program (EAP) and counseling services - Seamless transition planning to compassionate or bereavement leave - Manager notification and HR support coordination - Confidential handling of sensitive personal information For HR departments seeking to automate their compassionate leave workflows, this form integrates beautifully with **[Stepper](https://stepper.io)**, Paperform's AI-native workflow builder. Create automated workflows that notify managers, coordinate with benefits teams, schedule check-ins with employees, and ensure appropriate support resources are delivered at the right time—all while maintaining the confidentiality and care this situation demands. Whether you're in healthcare, professional services, corporate environments, or nonprofit organizations, this template helps you support your team members with the compassion they deserve. **Paperform** makes it simple to customize this form to match your organization's policies, integrate with your HRIS system, and ensure every employee receives consistent, caring support during life's most difficult moments. Trusted by HR teams who understand that supporting employees through personal crises isn't just good policy—it's the right thing to do. Built for growing businesses, trusted by bigger ones. Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. ![Capterra - 4.8 out of 5](/images/capterra-st.jpg) ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg) ![G2 - 4.8 out of 5](/images/g2-st.jpg) [Try Paperform free now](/register) ## More templates like this [![Bone Marrow & Organ Donation Remote Work Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/bone-marrow-organ-donation-remote-work-request-form.png) ### Bone Marrow & Organ Donation Remote Work Request Form Request remote work accommodations for employees participating in life-saving bone marrow or organ donation, including pre-procedure testing, surgical recovery, and donor registry participation.](/templates/bone-marrow-organ-donation-remote-work-request-form/) [![Caregiver Remote Work Request Form for Elderly Parent 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