Flexible Work Managers Response

This form can help employees who wish to request flexible work.

On this page:

All employers who receive a request must provide a written response within 21 days, which outlines whether the request is approved or refused. Employers can only refuse a request on reasonable business grounds, and must elaborate on these reasons in the written response. The template (below) can support employers to engage in conversation with their employees.

Details  
Full name: Click or tap here to enter text.
Date: Click or tap to enter a date.
Job Position: Click or tap here to enter text.
Team: Click or tap here to enter text.
As discussed with you I have considered your request for a flexible working arrangement Insert below the date of discussion

 

Click or tap to enter a date.

Current Work Arrangement

 

Current Place of Work:

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Current Days Worked:

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Current Hours Worked:

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Possible outcomes

 

1. As discussed with you, I can confirm that I have approved your request:

 

2. As discussed with you, I am unable to accommodate your original request:

However, I am able to offer you the following arrangement which we have discussed and you stated would be suitable:

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Your new arrangement will start:

Click or tap to enter a date.

3. I am declining your request for the following reasons as discussed with you. We will review this agreement on a quarterly basis.

Our next review date will be

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Signed:

Sign here

 

Name:

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Date

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