Flexible working request letter template

A template letter to make a statutory flexible working request. Free to use.

You can copy and paste the template text into an email or document.

If you'd like a change to start from a specific date, it's a good idea to request it ahead of time. This is so your employer has enough time to consider it. Your employer must make a decision, including any appeal, within a maximum of 2 months.

Template

[Today's date]

Dear [name of your employer / HR manager / line manager],

I am writing to make a statutory flexible working request.

[Use either A or B]

[A] I have not made any previous statutory flexible working requests.

[B] I have previously made [a statutory flexible working request / statutory flexible working requests] on [give dates].

My current working pattern is [give details, for example the days, hours, times and place you work].

I would like to [give details of the change you would like to make to your working pattern. For example:

I would like this change to start from [date].

[Optional] The reason I want this change is [give details].

I look forward to your reply.

[Your name]

Download this template

If you need the template in a different format, email digital@acas.org.uk