England & Walesflexible-working

Flexible Working Request Letter (Employee to Employer) — England & Wales

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This document's core is based on a template published by ACAS (inferred to be under OGL-3.0, from ACAS's site-wide licensing notice — not a template-specific statement). Verstia does not claim this text is approved by ACAS — its fidelity to the source is verified by a deterministic diff, not a legal review.

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FLEXIBLE WORKING REQUEST LETTER TEMPLATE

letter date
Dear recipient name,
I am writing to make a statutory flexible working request.
[has_previous_request => "I have previously made previous request description on previous request dates." / else "I have not made any previous statutory flexible working requests."]
My current working pattern is current working pattern.
I would like to requested change details.
I would like this change to start from change start date.
[If has_reason:] The reason I want this change is change reason.
I look forward to your reply.
Yours sincerely,
employee name

Variables you will fill in

Letter date(date)required
Recipient (employer / HR manager / line manager)(text)required
Have you made a previous statutory flexible working request?(boolean)required
Description of previous request(s) (if applicable)(text)
Date(s) of previous request(s) (if applicable)(text)
Your current working pattern (days, hours, times, place of work)(textarea)required
The change you would like to make to your working pattern(textarea)required
Date you would like the change to start(date)required
Do you want to state a reason for the request?(boolean)
Reason for the request (if applicable)(textarea)
Your name (signatory)(text)required
This is a day-one right — you do not need any minimum length of service to make a statutory flexible working request (Employment Relations (Flexible Working) Act 2023, in force since 6 April 2024). You can make up to 2 such requests in any 12-month period.

This information is for informational purposes only and does not constitute legal advice. For advice on a specific situation, consult a qualified adviser or Acas (acas.org.uk).