Letter Requesting Remote Work - Template, Sample Form Pro · IE-law
✓ Valid in Ireland · drafted to comply with local law
Create your Letter Requesting Remote Work - Template, Sample Form for use in Ireland. Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share. This version has been professionally rewritten to comply with local law.
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________
________
PPS Number: ________
________
________
For the attention of: ________
Date: ________
RE: REQUEST FOR REMOTE WORKING ARRANGEMENT PURSUANT TO THE WORK LIFE BALANCE AND MISCELLANEOUS PROVISIONS ACT 2023
Dear ________,
§1. Background
1.1. I am employed by ________ in the role of ________, having commenced employment on ________.
1.2. I confirm that, as at the date of this request, I have completed ________ (________) months of continuous service with ________. Accordingly, I will have completed not less than six (6) months of continuous service with the employer at the date on which any approved arrangement is to commence, and I am therefore eligible to make this request under section 21 of the 2023 Act.
1.3. I acknowledge that my previous request to work remotely was declined approximately ________ (________) months ago. The within request is made afresh in light of my continued service and the matters set out below.
§2. The Arrangement Requested
2.1. I respectfully request to work remotely for ________ (________) days of each working week.
2.2. I propose that this arrangement commence on ________ and, if it is to be for a fixed term, continue for a period of ________.
2.3. The proposed remote working location is my home address at:
________
2.4. I confirm that I would remain available to attend the workplace from time to time where this is reasonable, practicable and necessary for the proper performance of my duties.
§3. Grounds of the Request
3.1. Having regard to the Remote Working Policy of ________, I believe that I satisfy the relevant eligibility criteria on the following grounds:
________
3.2. My personal reasons for seeking this arrangement, which I set out in support of my request, are as follows:
________
§4. Suitability and Performance
4.1. I am confident that the proposed arrangement is consistent with the continued effective discharge of the duties of my role as ________ and would not adversely affect my productivity or the operational requirements of the business.
4.2. The proposed remote working location is suitable and compliant with prevailing health and safety standards, and I confirm my willingness to facilitate any assessment of that location and to comply with the obligations imposed on me under the Safety, Health and Welfare at Work Act 2005.
4.3. The proposed location benefits from a stable and secure internet connection. I confirm that I will adopt such reasonable data protection, confidentiality and information security measures as ________ may require in order to ensure compliance with the General Data Protection Regulation (Regulation (EU) 2016/679), the Data Protection Act 2018 and the company’s information security policies.
§5. Statutory Timeframe and Response
5.1. I would be grateful if you would give this request your full and reasonable consideration in accordance with the 2023 Act and the applicable Code of Practice.
5.3. I am happy to discuss any aspect of this request and to provide any further information you may reasonably require in order to assess it.
I thank you for your time and consideration of this matter.
Yours sincerely,
_________________
________
Job title: ________
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