Flexible working request letter

Flexible working request [Delete this line]

[Company name]

[Sender address]

[date]

[Recipient name]

[Recipient address]

Dear [Recipient first name],

Request for flexible working

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 not made more than 1 statutory request to work flexibly during the past 12 months. [A maximum of 1 applicaton can be made in Northern Ireland].
• [NI only: I have 26 weeks continuous service.]

[Date of any previous request to work flexibly under this right: [date]]

[If you are unable to confirm each of the above then you do not qualify to make a statutory request to work flexibly. This does not mean that your request may not be considered, but you will have to explore this separately with your employer.]

My current working pattern is [insert days/times/place worked].

The working pattern I would like to work in future is [insert days/times/place worked].

I would like this working pattern to commence from [date]. [Note: It might take up to two months for your employer to consider your request.]

I think this change in my working pattern will affect my employer and colleagues as follows:

[Insert the impact on the Company and others that your updated working pattern might have, for example, longer working days may lead to increased efficiency, or shorter working days may have a negative effect on customer service.]

I think the effect on my employer and colleagues can be dealt with as follows:

[Insert what you think the Company can do to mitigate any negative effects.]

Yours [faithfully | sincerely],

[Sender name]

[Sender job title]

[Sender telephone]
[Sender email]