Official form guide
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
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.
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
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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.
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)
There is no universal federal deadline, but documenting responses promptly after receiving a request is best practice.
Field map
Applicant
1 items
Full name (and representative, if any), postal address, email, and phone number of the person or organisation lodging the application.
Respondent
1 items
The exact legal name and ABN of the employer or other party the application is made against.
The Matter
2 items
Identify the kind of matter — for example, unfair dismissal, general protections, or an agreement application.
A clear description of what happened, relevant dates, and the outcome you are seeking.
Dates
1 items
Relevant dates such as the date of dismissal or the date the issue arose — these determine whether you are within time.
Supporting
1 items
Any documents that support your application, such as letters, contracts, or notices.
Declaration
1 items
Sign and date the form. Applications may also require a fee or an application for a fee waiver.
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Fillable formOpen in Editor->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.
Quick Facts
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.
Source transparency
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