Employment code:

Appendix A3.3

Flexible working application forms

For establishments using the RCUK SSC Ltd, please use the Flexible Working Request form on the KnowledgeBase.

For establishments not using the RCUK SSC Ltd, please use the form below.

Note to the employee

You can use these forms to make an application to work flexibly. As it can take up a few weeks to consider a request before it can be implemented and possibly longer where difficulties arise, you are advised to submit your application to the appropriate person well in advance of the date you wish the request to take effect.

It will help your line manager to consider your request if you provide as much information as you can about your desired working pattern. Please take some time to think about what effect your change in working pattern will have both on the work that you do and on your colleagues. If the request is granted, this will normally be a permanent change to your terms and conditions unless otherwise agreed.

Flexible working application form (DOC 26KB)

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Last updated 29/03/10
Amendment 88 - March 2010