Name of employee Job Date of application I would like to request flexible working arrangements and confirm that: I have 26 weeks continuous service with the company Yes / No I confirm I have not made a request for flexible working in the past 12 months. Yes / No If you have made a previous request for flexible working please give details: Please consider my statutory request for flexible working as detailed below: Outline the flexible working changes you would like the company to consider and describe the reasons for making this request. N.B. If the request is in relation to the Equality Act 2010 e.g. as a reasonable adjustment for a disability then please state this. I think the requested changes would have the following effect on the company and I believe it could this be dealt with as I have described: Describe any effects your request would have on the business, your work colleagues, team or department. Consider also any likely consequences such as additional costs, impact on quality or customer service etc. Also describe how you think the issues could be addressed to minimise any potential disruption or negative effect on the business.
Name of employee Job Date of application I would like to request flexible working arrangements and confirm that: I have 26 weeks continuous service with the company Yes / No I confirm I have not made a request for flexible working in the past 12 months. Yes / No If you have made a previous request for flexible working please give details: Please consider my statutory request for flexible working as detailed below: Outline the flexible working changes you would like the company to consider and describe the reasons for making this request. N.B. If the request is in relation to the Equality Act 2010 e.g. as a reasonable adjustment for a disability then please state this. I think the requested changes would have the following effect on the company and I believe it could this be dealt with as I have described: Describe any effects your request would have on the business, your work colleagues, team or department. Consider also any likely consequences such as additional costs, impact on quality or customer service etc. Also describe how you think the issues could be addressed to minimise any potential disruption or negative effect on the business.
HRS_flexible_working_request_v1.docx