AUFAIR WORK OMBUDSMANEmployment Templates

Official form guide

Form request for flexible working arrangements template sts: Request for flexible working arrangements template sts

This template guides employees in formally requesting changes to their standard work schedule or location. It is used when an employee wishes to discuss and formalize a flexible working arrangement with their employer.

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Form Overview

Fair Work Ombudsman Form request for flexible working arrangements template sts - Request for flexible working arrangements template sts

This template guides employees in formally requesting changes to their standard work schedule or location. It is used when an employee wishes to discuss and formalize a flexible working arrangement with their employer.

It captures details about the proposed flexible schedule, the reasons for the requested change, and agreement points between the employee and employer.

Risk Radar

Scan points
  • 1Always discuss the request with your employer first; this form is a proposal template.
  • 2Failing to specify concrete working hours (start/end times).
  • 3Not detailing how the proposed change impacts business operations.
  • 4Assuming the request automatically becomes law without employer agreement.
  • 5Forgetting to get written confirmation of any agreed changes.

Plain English

If you want to adjust your usual hours, start working from home sometimes, or change your roster, this form helps structure that request. It provides a clear way to propose changes to your current work setup within Australian workplace law.

Submission Date

  • Filing date: Submitting this request should happen when an employee believes a change in working conditions is beneficial or necessary. There are no strict legal deadlines provided by the form itself.
  • 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

  • * Use this when you want to formally suggest changes to how, where, or when you work.
  • * It is suitable for discussing options like changing hours or working from home some days.
  • * Do not use this if the change is an emergency or requires immediate action; talk to your manager first.
  • * This template assists in documenting the request before formal discussion.

Form selector

Use this form or another form?

Need to report workplace harassment

The process differs from a work arrangement request.

Check internal company policy first.

Internal HR complaint form

Disputing pay or hours worked

Pay disputes must follow specific statutory procedures, not this template.

Verify the correct dispute channel.

Fair Work Commission online portal (or relevant payslip dispute system)

Reporting an industrial injury at work

Injuries require immediate safety reporting, separate from scheduling changes.

Contact your supervisor or WHS officer immediately.

Workplace Health and Safety reporting form (e.g., WorkCover NSW/VIC)

Deadline or filing window

There are no fixed deadlines specified for making or accepting flexible work requests.

Before you submit

  1. 1Confirm all sections of the request are completed, even if they contain 'N/A'.
  2. 2Attach any supporting documentation (e.g., evidence of improved productivity in a different setting).
  3. 3Proofread for clarity, grammar, and professional tone.
  4. 4Determine who the designated recipient is (usually your direct manager or HR contact).
  5. 5Keep a copy of the fully submitted request and all correspondence.

How to file this form

  1. 11. Complete the template with detailed information about your current role and desired changes.
  2. 22. Research your employer's internal policy on flexible work to align your request.
  3. 33. Schedule a private meeting or call with your direct manager or HR representative.
  4. 44. Present the completed form and discuss the proposal in person.
  5. 55. Follow up in writing after the discussion, summarizing agreed points or next steps.
  6. 66. Wait for formal written confirmation from your employer regarding their decision.

Known limitations

  1. 1* Completing this template does not guarantee approval of the request.
  2. 2* The final decision rests with the employer, based on business needs and local laws.
  3. 3* This form is a guide; specific company procedures may require additional steps.
  4. 4* It cannot be used to bypass mandatory consultation requirements set by law.

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

This template is a guide for employees to initiate discussions with their employer regarding flexible work. Use it to formally document your request for changing your standard working hours or location.

What changed or needs a fresh check

  • * Review the current legislative requirements for flexible working arrangements in Australia.
  • * Confirm if your workplace has a specific internal policy that overrides this template.
  • * Check for updates regarding mandatory consultation periods with your employer.
  • * Ensure you have included enough detail about how the change benefits both you and the business.

Quick Facts

The employee who wishes to change their work arrangements completes and submits this form.
It captures details about the proposed flexible schedule, the reasons for the requested change, and agreement points between the employee and employer.
Submitting this request should happen when an employee believes a change in working conditions is beneficial or necessary. There are no strict legal deadlines provided by the form itself.
This template is generally submitted internally to your direct manager or HR department within your organization, not directly to the Ombudsman.
Completing this request correctly ensures all proposed changes are formally documented and discussed according to workplace guidelines. Proper submission helps establish a clear record of the agreement.
Fill out all sections accurately, detailing both the current arrangement and the desired new arrangement. Discuss the form with your manager before submitting it, ensuring both parties understand the terms.

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Sources

  • SRCIssuing Agency: Fair Work Ombudsman
  • SRCForm Name: Request for flexible working arrangements template sts
  • SRCContext: Employee-initiated formal request to employer.
  • SRCScope: General guide for discussion, not a binding legal document.

Common confusion points

Mistaking this template for a legal right; it initiates a discussion, but approval must be negotiated.

Assuming that submitting the form automatically triggers an immediate response from HR.

Failing to understand that 'flexible' arrangements must still meet core job requirements and company needs.

Not understanding the difference between requesting flexibility (this form) and reporting mandatory workplace rights issues.

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Source transparency

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