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Flexible working request form template

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Flexible working request

To my employer

I would like to apply to work a flexible working pattern that is different to my current working pattern under my right provided under section 80F of the Employment Rights Act 1996.  I confirm that I meet each of the eligibility criteria as follows:

  • I have worked continuously as an employee of the company for the last 26 weeks.
  • I have not made a statutory request to work flexibly during the past 12 months.

Date of any previous request to work flexibly under this r

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The full Flexible working request form template will be displayed above once you purchase either this document individually, or as part of the following pack:

- Management documents

Last update

4 August 2020


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