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Letter Requesting Flexible Work - Template, Sample Form Pro · AU-law

✓ Valid in Australia · drafted to comply with local law

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Letter Requesting Flexible Work - Template, Sample Form
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________
________

________

Date: ________


RE: CONFIRMATION OF REQUEST FOR FLEXIBLE WORKING ARRANGEMENTS – SECTION 65, FAIR WORK ACT 2009 (CTH)


Dear ________,


1. Introduction

1.1 I refer to my employment with ________ (the Employer) in the position of ________, which commenced on ________.

1.2 I am writing to follow up on the discussion we had on ________ in relation to my request for a flexible working arrangement, namely to work from home.

2. Statutory basis of my request

2.1 My request is made pursuant to section 65 of the Fair Work Act 2009 (Cth) (the Act), which entitles eligible employees to request a change in their working arrangements.

2.2 I confirm that I am eligible to make this request because I have completed at least 12 months of continuous service with the Employer, and I fall within one or more of the circumstances set out in section 65(1A) of the Act, being: ________.

2.3 The change I requested is to perform my duties from my home address located at ________, with effect from ________, on the following basis: ________.

3. Record of our discussion

3.1 When we spoke on ________, you provided your verbal acceptance of my request. This letter serves as a written record of that discussion and of the agreement reached.

4. Request for written confirmation

4.1 I note that, under section 65A of the Act, an employer must provide a written response to a request for flexible working arrangements within 21 days, stating whether the request is granted or refused.

4.3 Should any aspect of the proposed arrangement require further discussion or adjustment, I am happy to meet with you at a mutually convenient time to reach agreement in accordance with section 65A(5) of the Act.

5. Conclusion

5.1 Thank you for your consideration of, and approval of, my request. I look forward to receiving your written confirmation.



Yours faithfully,



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