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Letter to Request Flexible Working - Template Form

✓ Valid in United Kingdom

Create your Letter to Request Flexible Working for use in United Kingdom. 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.

  • Answer 17 simple questions - the document fills in as you go
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Below you can preview the Letter to Request Flexible Working, complete it by answering a few plain-English questions, and download a ready-to-sign copy in Word and PDF — tailored for use in United Kingdom.

Frequently asked questions

What is a Letter to Request Flexible Working?

A Letter to Request Flexible Working is a ready-to-use legal template for United Kingdom. You complete it by answering a few plain-English questions, then download the finished document in Word and PDF.

What does the Letter to Request Flexible Working cover?

The Letter to Request Flexible Working is organised into sections covering RE: Flexible Working Request, so the important points are captured in a clear, consistent structure.

What formats can I download?

You can download your completed Letter to Request Flexible Working as an editable Microsoft Word (.docx) file and as a PDF.

Can I edit the document later?

Yes — save it to your account and you can re-open, edit and re-download it at any time.

Prepared and reviewed by the LegalDocs team.

Document preview

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Dear Sir/Madam,

RE: Flexible Working Request

I write to make a request for flexible working. My request is sent in exercise of my contractual right under section 33 of the NHS terms and conditions of service.

You will be aware that I have been continuously employed by ________ since ________ as a ________.

My current working arrangements are as follows:

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My request is that my terms and conditions of employment be altered so as to change my hours of work to the following:

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I would like this change to take effect on ________.

My request relates to the risk posed by the ongoing COVID-19 pandemic. I am particularly concerned about:

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I am recognised as a vulnerable person in terms of the risk posed by COVID-19 in view of the following condition: ________.

I wish to advise you that I have a disability, namely: ________. As a result of that disability, I currently suffer from the following disadvantages:

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I believe the requested changes to my terms and conditions of employment would have the following beneficial effects on ________:

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I appreciate that the requested changes to my terms and conditions of employment may also give rise to the following issues for ________:

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However, these issues could easily be addressed.

Your sincerely,



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Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.