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Form for employee to submit flexible working request (requests submitted before 6 April 2024)

Authors: Lynda Macdonald and Stephen Simpson

When to use this model flexible working form

Use this model form to permit employees to submit a formal request for flexible working before 6 April 2024. See Form for employee to submit flexible working request (requests submitted on or after 6 April 2024) for a form that reflects the rules for requests made on or after 6 April 2024.