| Source: XpertHR P&D |
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Date: 19/05/2008 |
Publisher: XpertHR |
Right to request flexible working: Form for an employee to submit a request for flexible working (form)
TOPICS:| terms, conditions and employee rights | working time and leave
working patterns
| | contracts of employment | varying the contract of employment
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Form wording:
| Name of employee: |
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| Department: |
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| Start date with the Company: |
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| Date form submitted: |
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I wish to submit a request for flexible working as detailed below. |
| Previous applications for flexible working |
| Have you submitted a previous request for flexible working? (If yes, please answer the next question.) |
Yes |
No |
| When did you submit your last request for flexible working? |
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| Pattern of working |
| Please state the pattern of working you are seeking by providing information under one or more of the following three headings: |
| 1. | |
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