Letter to Request for Flexible Working Schedule - Form

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Re: Request for a Temporary Flexible Working Arrangement

Dear ________:

I write in my capacity as a regular employee of ________ (the he position of ________ under the ________, to respectfully request the grant of a temporary flexible working arrangement in accordance with the policies of the Company and applicable Philippine labor law and issuances, including the Labor Code of the Philippines (Presidential Decree No. 442, as amended and renumbered) and the relevant Advisories and Labor Advisories of the Department of Labor and Employment (DOLE), in particular DOLE Department Advisory No. 02, Series of 2009 (Guidelines on the Adoption of Flexible Work Arrangements) and DOLE Labor Advisory No. 04, Series of 2010.

I.  Background and Reason for the Request. I sincerely value my employment with the Company and remain fully committed to its continued success. I am constrained to make this request for the following bona fide reason/s:

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II.  Period of the Arrangement. I respectfully request that the proposed flexible working arrangement take effect from ________ and continue until ________, subject to such review, extension, modification, or earlier termination as the Company may determine in the exercise of its management prerogative.

III.  Current Working Schedule. As a(n) ________, my present work schedule is as follows:

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IV.  Proposed Flexible Working Schedule. I respectfully propose that my schedule be adjusted to a flexible working arrangement under which I shall render a total of ________ working hours per week, distributed as follows:

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V.  Undertakings. I respectfully undertake that, throughout the duration of the requested arrangement, I shall: (a) continue to render the same total number of working hours and meet all output, productivity, and quality standards required of my position; (b) remain reachable and available during agreed core hours through ________; (c) comply with all Company policies, the Company Code of Conduct, attendance and timekeeping requirements, and applicable confidentiality and data privacy obligations under Republic Act No. 10173 (Data Privacy Act of 2012); and (d) ensure that no overtime, additional compensation, or change in my existing terms and conditions of employment shall be deemed to arise from this arrangement unless expressly approved in writing by the Company.

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I would be grateful for the opportunity to discuss this request at your earliest convenience. Thank you for your kind consideration.

Respectfully yours,

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ACTION OF THE EMPLOYER

[  ] Approved    [  ] Disapproved    [  ] Approved with modifications, as follows: ________

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Date: ________