AUFAIR WORK OMBUDSMANEmployment Templates

Official form guide

Form Part time hours of work agreement variation: Part time hours of work agreement variation

The Part time hours of work agreement variation form records a new or changed set of ordinary hours for a part‑time employee. Use it for an initial agreement, a temporary change or a permanent change to the roster.

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Form Overview

Fair Work Ombudsman Form Part time hours of work agreement variation - Part time hours of work agreement variation

The Part time hours of work agreement variation form records a new or changed set of ordinary hours for a part‑time employee. Use it for an initial agreement, a temporary change or a permanent change to the roster.

It captures employee name, position, type of variation, effective dates, daily start/end times, unpaid breaks, total hours and signatures of both parties.

Risk Radar

Scan points
  • 1Missing a signature invalidates the agreement.
  • 2Unsigned employee or manager section
  • 3Unclear end date for temporary variation
  • 4Incorrect total hours calculation
  • 5Failure to retain a copy for records

Plain English

Both you and your part‑time staff fill in the table of start times, breaks and finish times. Sign the form and keep a copy for your records.

Submission Date

  • Filing date: Complete the form as soon as the new hours are agreed. Not confirmed in official source for any statutory deadline.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • To set up the initial ordinary hours for a new part‑time employee.
  • To record a temporary change to an existing part‑time roster.
  • To record a permanent change to an existing part‑time roster.
  • When you want the agreement attached to a Letter of Engagement.
  • Only for part‑time employees – not for full‑time or casual staff.
  • Both employee and manager/supervisor must sign and date the form.

Form selector

Use this form or another form?

Full‑time hours variation

Different template covers full‑time entitlements

✓ Verify employee classification first

Full‑time Hours of Work Agreement

Casual employee schedule change

Casuals have no ordinary hours guarantee

✓ Confirm casual status

Casual Employment Agreement or Variation

Award‑specific minimum hours change

Award may require separate documentation

✓ Check applicable award details

Modern Award Variation Form

Enterprise agreement roster change

Enterprise agreements have their own clauses

✓ Confirm enterprise agreement applies

Enterprise Agreement Variation Schedule

Deadline or filing window

No formal filing deadline; keep the signed form on the date the variation takes effect.

Before you submit

  1. 1Employee name, surname and position entered correctly.
  2. 2Select the correct variation type (initial, temporary, permanent).
  3. 3Enter effective date and end date or write “ongoing”.
  4. 4Complete start time, unpaid break, finish time, other breaks and total hours for each day.
  5. 5If using a fortnightly roster, fill both Week 1 and Week 2 tables.
  6. 6Total weekly hours calculated and entered.
  7. 7Add any extra points under "Parties agree that this arrangement includes the following points" if needed.
  8. 8Employee signature and date added.
  9. 9Manager/supervisor signature and date added.
  10. 10Make a copy for employer records and give one to the employee.

How to file this form

  1. 1Gather employee details and decide whether the change is initial, temporary or permanent.
  2. 2Fill in the appropriate variation type box and the effective dates.
  3. 3Enter the daily schedule in the Week 1 table; add Week 2 if the roster is fortnightly.
  4. 4Write any additional agreed points in the space provided.
  5. 5Obtain signatures from the employee and the manager/supervisor.
  6. 6Make a copy for your records and give the original to the employee.
  7. 7Store the signed form with the employee’s employment file.

Known limitations

  1. 1Only applies to part‑time employees; other classifications need different forms.
  2. 2Does not replace the minimum daily hours set by a modern award – that must be filled in separately.
  3. 3The form alone is not a contract; it records an agreement that must be in writing.
  4. 4Future variations must be documented on a new form.
  5. 5Placeholder for award information must be completed before the form is finalised.

Field map

Compact field-by-field guide

7 fields

Applicant

1 items

Applicant Name and Contact

Full name (and representative, if any), postal address, email, and phone number of the person or organisation lodging the application.

Requiredtext

Respondent

1 items

Respondent / Employer Details

The exact legal name and ABN of the employer or other party the application is made against.

Requiredtext

The Matter

2 items

Type of Application

Identify the kind of matter — for example, unfair dismissal, general protections, or an agreement application.

Requiredselect
Details of the Dispute

A clear description of what happened, relevant dates, and the outcome you are seeking.

Requiredtext

Dates

1 items

Key Dates

Relevant dates such as the date of dismissal or the date the issue arose — these determine whether you are within time.

Requireddate

Supporting

1 items

Attachments

Any documents that support your application, such as letters, contracts, or notices.

text

Declaration

1 items

Signature and Date

Sign and date the form. Applications may also require a fee or an application for a fee waiver.

Requiredsignature
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Current form status
FAIR_WORK_OMBUDSMAN

The Fair Work Ombudsman’s part‑time hours of work agreement variation form is the current template; no recent updates are noted in the source.

What changed or needs a fresh check

  • Confirm the form title matches "Hours of work agreement or variation – part‑time employees".
  • Check that the variation type boxes (Initial, Temporary, Permanent) are present.
  • Verify fields for Effective from and Until (or “ongoing”) are filled.
  • Ensure both Week 1 and Week 2 tables are included for fortnightly rosters.
  • Confirm signature lines for employee and manager/supervisor are present.
  • Note the placeholder for applicable modern award minimum daily payment.

Quick Facts

The employer and the part‑time employee must complete and sign the form.
It captures employee name, position, type of variation, effective dates, daily start/end times, unpaid breaks, total hours and signatures of both parties.
Complete the form as soon as the new hours are agreed. Not confirmed in official source for any statutory deadline.
The form is kept by the employer and a copy is given to the employee. Not confirmed in official source for online or postal submission.
A written record protects both sides and shows compliance with the Fair Work Act and the relevant modern award.
Enter the employee’s details and choose initial, temporary or permanent variation. Fill the week‑1 table; add week‑2 if you use a fortnightly roster. Calculate total hours for each day and the week. Write the effective from date and, for temporary changes, an end date or ‘ongoing’. Both employee and manager sign and date the form. Keep the original and give a copy to the employee.

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Sources

  • SRCForm title and purpose: "Hours of work agreement or variationpart‑time employees" (confirmed).
  • SRCAgency: Fair Work Ombudsman (confirmed).
  • SRCVariation type options: Initial agreement, Temporary variation, Permanent variation (confirmed).
  • SRCEffective from / Until fields (confirmed).
  • SRCWeek 1 and Week 2 tables with day‑by‑day schedule fields (confirmed).
  • SRCSignature lines for employee and manager/supervisor with dates (confirmed).
  • SRCStatement that any further variation must be in writing using another form (confirmed).
  • SRCPlaceholder for minimum daily payment per applicable modern award (confirmed).
  • SRCContact details: Fair Work Infoline 13 13 94 and website www.fairwork.gov.au (confirmed).
  • SRCRequirement to keep a copy for records (confirmed).

Common confusion points

Mixing up temporary and permanent variation boxes.

Leaving the “Until” field blank for a temporary change.

Forgetting to fill the Week 2 table when the roster is fortnightly.

Not including unpaid break times, which affect total hours.

Missing either the employee or manager signature.

Attaching the form to a Letter of Engagement when not required.

Assuming the placeholder for award minimum hours is optional.

Calculating total weekly hours incorrectly.

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