AUFAIR WORK OMBUDSMANEmployment Templates

Official form guide

Form responding to a request for flexible working arrangements te: Responding to a request for flexible working arrangements template sts

This template guides responses regarding requests for flexible working arrangements within the workplace. It helps formalize the process when an employee or employer discusses changes to standard work schedules. Use it as part of your internal documentation and communication.

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Form Overview

Fair Work Ombudsman Form responding to a request for flexible working arrangements te - Responding to a request for flexible working arrangements template sts

This template guides responses regarding requests for flexible working arrangements within the workplace. It helps formalize the process when an employee or employer discusses changes to standard work schedules. Use it as part of your internal documentation and communication.

It captures details about the proposed changes, the reasons for the request, and the agreement reached regarding the new work arrangement. It documents which party is accepting or declining the flexibility.

Risk Radar

Scan points
  • 1Do not assume verbal agreements are sufficient; always document outcomes using this template.
  • 2Confusing the template with formal employment contracts.
  • 3Failing to include policy references or supporting documentation.
  • 4Using outdated versions of the form.
  • 5Only responding without fully considering operational impact.

Plain English

If someone asks to change their usual work hours or location, this form provides a structured way to reply. It ensures that both parties document the discussion and any agreed-upon outcomes regarding flexibility at work. This helps keep records clear for everyone involved in Australian employment law.

Submission Date

  • Filing date: Complete this form as soon as possible after receiving a formal request for flexible working arrangements. Documentation should happen promptly to maintain clear records.
  • 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 an employee formally submits a request for changes to their standard work schedule.
  • Use this as part of your internal record-keeping after discussing flexible arrangements.
  • Use this template to document the employer's formal consideration and response to the request.

Form selector

Use this form or another form?

General workplace dispute

This form handles agreements, not disputes.

Check if you need assistance with general conflict resolution.

Not applicable (This is a response template)

Reporting wages or superannuation changes

Use payroll systems for these details.

Do not use this template for financial reporting.

Not applicable

Making an initial request for flexible work

This template is for the *response* side of the discussion.

Confirm if you are initiating the conversation or responding to one.

Different internal documentation/HR process (Not a formal government form)

Deadline or filing window

There is no universal federal deadline, but documenting responses promptly after receiving a request is best practice.

Before you submit

  1. 1Verify that both the request details and the response decision are fully completed.
  2. 2Confirm signatures (employee and employer representative) are obtained on the final version.
  3. 3Check that any agreed-upon start dates and conditions are clearly written down.
  4. 4Ensure the form is saved in a secure, accessible location for future reference.
  5. 5Review the document to ensure it aligns with current company policies.

How to file this form

  1. 1Complete all sections of the template based on your internal discussions.
  2. 2Obtain necessary signatures from both the employee and the employer representative.
  3. 3Scan or save the signed form digitally for your records.
  4. 4File the document in the designated personnel file or HR system.
  5. 5Communicate to the employee where they can access a copy of the finalized agreement.

Known limitations

  1. 1This template is an internal guide, not a legally binding government instrument itself.
  2. 2It does not replace formal employment contracts or company policy documents.
  3. 3The content must reflect actual discussions and agreements; do not fill it out preemptively.
  4. 4Consult your HR department for specific legal interpretations of the document.

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 an internal guide for documenting workplace discussions regarding flexible work. It does not replace formal agreements made through employment contracts or relevant Fair Work Commission processes.

What changed or needs a fresh check

  • Review current workplace policies regarding flexible working arrangements.
  • Confirm who needs to sign off on the final agreement (e.g., HR, Manager).
  • Check for any updates in Fair Work Ombudsman guidance related to consultation periods.
  • Ensure all parties understand the right to appeal or review the decision.

Quick Facts

The employer or manager receiving a flexible working request typically needs to complete and submit this template. The employee who made the initial request may also need to reference it.
It captures details about the proposed changes, the reasons for the request, and the agreement reached regarding the new work arrangement. It documents which party is accepting or declining the flexibility.
Complete this form as soon as possible after receiving a formal request for flexible working arrangements. Documentation should happen promptly to maintain clear records.
Follow your organisation's internal HR process, but ensure the completed template is stored with official employee files. Submission may be via email or an internal digital portal.
Accurate completion provides evidence that the employer considered the request fairly and followed proper procedures. Incomplete records can create compliance issues under Australian workplace law.
First, read the template carefully to understand all required sections. Fill in factual details about the original request and the proposed changes. Have relevant company policies ready for reference before completing it.

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Sources

  • SRCIssuing Agency: Fair Work Ombudsman (FAIR_WORK_OMBUDSMAN)
  • SRCForm Name: Responding to a request for flexible working arrangements template
  • SRCPurpose: Guides internal documentation of responses.
  • SRCContext: Workplace agreements and employee rights.

Common confusion points

Confusing the *request* process with the *response* documentation process.

Assuming signing this template automatically resolves all future workplace issues.

Believing that simply filling out the form makes the arrangement legally superior to existing contracts.

Failing to document who was consulted during the decision-making process.

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Source transparency

Copyright & Licensing — Australian Government Forms

Independent guide

BrieflyGo links to and explains official public form sources. We are not a government agency, and this page is for general form guidance, not legal advice.

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