Letter Requesting Remote Work - Template, Sample Form

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Date: ________

Re: Request to Work Remotely

Dear ________,

Following the rejection of my request to work remotely ________ (________) months ago, I am writing to again formally request a transition to remote working. Ideally, I would seek to work remotely ________ (________) days of the working week. I would remain available to come into the office from time to time if needed, provided this is reasonable and practicable.

My suggested remote working location is my home address at:

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As you are aware, I have worked for ________ for ________ (________) months and as such am entitled to request remote work under the Right to Request Remote Work legislation.

Furthermore, pursuant to a review of ________ Remote Work Policy, I believe I am eligible for remote working on the following grounds:

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I am confident that a transition to remote working would be conducive to my continued productivity in my role as ________, and in no way impede my ability to successful discharge the tasks and duties of my employment.

The remote working environment I have suggested is compliant with prevailing health and safety standards. It enjoys stable and secure internet connections and I am prepared to adopt whatever measures ________ deems necessary to ensure the continued security of ________ data and privacy.

My personal reasons for requesting remote work are as follows:

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Thank you for your time and consideration of this matter.

Kind regards,

_________________

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Job title: ________