Form
Request flexible working: application form template
You can use this form to make an application to work flexibly under the right provided in law to eligible employees.
Applies to England, Scotland and Wales
Documents
Details
Applications to work flexibly must include:
- the date
- a statement that this is a statutory request
- details of how you want to work flexibly and when you want to start
- a statement saying if and when you’ve made a previous application
You can write an email or letter to your employer or use one of the form templates above.
You should note that it may take up to 2 months to consider a request - or longer if you agree a longer decision period with your employer.
Before you start
Read the guidance on flexible working, and check that you are eligible to make a request.
Updates to this page
Published 4 July 2014Last updated 6 April 2024 + show all updates
-
Form updated to reflect the legal changes to the right to request flexible working coming into force on 6 April 2024.
-
First published.