Remote Work Backup Power Supply Request Form
About this free form template

Keep Your Remote Work Running During Power Outages

Power interruptions shouldn't mean lost productivity, missed deadlines, or damaged equipment. Whether you're handling client calls, managing critical deadlines, or supporting global teams across time zones, a reliable backup power supply is essential infrastructure for today's remote workforce.

This Remote Work Backup Power Supply Request Form helps your organization evaluate, approve, and provision uninterruptible power supply (UPS) equipment for remote team members who need continuous power protection for their home offices.

Why Remote Workers Need Backup Power Solutions

Remote employees face unique challenges when it comes to power reliability. Unlike traditional offices with enterprise-grade UPS systems and redundant power infrastructure, home offices are vulnerable to:

  • Sudden power outages that can corrupt files, interrupt video calls, and damage hardware
  • Voltage fluctuations that degrade equipment lifespan and cause unexpected shutdowns
  • Internet connectivity loss when modems and routers lose power
  • Data loss from unsaved work during unexpected shutdowns
  • Productivity gaps during extended outages in areas with unreliable power grids

For roles that require high availability—customer support, IT operations, sales, healthcare services, and financial services—having backup power isn't a luxury, it's a business necessity.

Who Should Use This Form Template

This template is designed for:

  • IT departments managing remote work equipment provisioning and support
  • HR teams coordinating home office equipment reimbursements and requests
  • Operations managers ensuring business continuity for distributed teams
  • Remote-first companies establishing power backup standards for their workforce
  • Hybrid workplaces supporting employees who work from home regularly
  • Facilities teams evaluating infrastructure needs for remote staff

Industries that particularly benefit from structured backup power requests include technology companies, contact centers, healthcare providers, financial services, consulting firms, and any organization with compliance or uptime requirements.

What This Template Includes

The form collects comprehensive information to ensure the right backup power solution is provisioned:

Employee Information & Work Patterns Capture essential details about the requester, their role, department, and remote work schedule to assess priority and business justification.

Power Outage Assessment Document the frequency, duration, and impact of power interruptions in the employee's location. This helps determine whether a basic battery backup or more robust solution is needed.

Equipment Protection Requirements Identify all devices that need power protection—computers, monitors, networking equipment, peripherals, and specialized hardware. Calculate total power draw to size the UPS appropriately.

UPS Capacity & Runtime Specifications Define required runtime (15 minutes for safe shutdown vs. 2+ hours for extended work), VA/watt capacity, number of outlets, and whether pure sine wave output is needed for sensitive equipment.

Internet Continuity Planning Ensure routers, modems, and mesh networking equipment are included in the backup power plan, maintaining connectivity during outages.

Business Justification Explain the business impact of power interruptions, including client-facing responsibilities, critical systems access, time-sensitive deadlines, and compliance requirements.

Budget & Reimbursement Details Specify whether this is a company-provided device, employee purchase with reimbursement, or rental equipment, along with estimated costs.

How Paperform Makes Equipment Requests Seamless

With Paperform's conditional logic, you can create intelligent workflows that adapt based on responses. For example:

  • Show different UPS recommendations based on total equipment wattage
  • Display reimbursement policies only when employees are purchasing their own equipment
  • Require manager approval for high-capacity or premium backup power systems
  • Route emergency requests differently than standard provisioning

Use calculations to automatically compute total wattage requirements based on listed equipment, helping employees and IT teams size the right UPS solution without manual math.

Connect submissions to your existing tools via Stepper (stepper.io) to automate your approval and fulfillment process:

  • Send requests to IT ticketing systems or procurement platforms
  • Route to managers for approval based on cost thresholds
  • Create purchase orders or reimbursement records automatically
  • Update inventory management systems when equipment is issued
  • Trigger onboarding emails with UPS setup instructions and best practices

Business Continuity Meets Employee Productivity

Providing backup power support shows your remote team that their productivity and equipment safety matter. It reduces IT support burden from power-related incidents, minimizes data loss and recovery costs, and ensures consistent service delivery regardless of local power reliability.

For distributed teams working across regions with varying infrastructure quality—or even within the same city where some neighborhoods experience more frequent outages—this form helps you make data-driven decisions about where backup power investment delivers the highest return.

Getting Started

This template is ready to customize for your organization's equipment policies, budget parameters, and approval workflows. Adjust the form to match your UPS standards (specific brands or models you support), reimbursement limits, and any technical requirements specific to your industry.

Whether you're equipping a handful of critical remote positions or rolling out backup power standards across a global workforce, Paperform gives you the flexibility to scale while maintaining the professional experience your team expects.

Start collecting structured backup power requests today—and keep your remote workforce running, even when the lights go out.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.