AUFAIR WORK OMBUDSMANEmployment Templates

Official form guide

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

This form is a template for employees to request flexible working arrangements from their employer. It should be used when an employee needs to change their working hours, location, or pattern to better balance work and personal commitments.

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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 form is a template for employees to request flexible working arrangements from their employer. It should be used when an employee needs to change their working hours, location, or pattern to better balance work and personal commitments.

This form captures details about your current work arrangement, the changes you're requesting, and reasons why these changes would work for you and your employer.

Risk Radar

Scan points
  • 1Many employees fail to provide sufficient justification for why their requested arrangement is reasonable and necessary.
  • 2Not providing enough detail about why your arrangement change is needed
  • 3Not allowing sufficient time for your employer to consider the request
  • 4Not following your workplace's specific procedures for submitting the request
  • 5Not keeping a copy of your submitted request

Plain English

If you need to change how or when you work, this form helps you make that request to your employer in a structured way. It's not a guarantee your request will be approved, but it starts the conversation and ensures your employer considers it properly.

Submission Date

  • Filing date: Submit this form as soon as you know you need a change to your working arrangements, giving your employer reasonable time to consider your request (typically at least 21 days).
  • 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 when you need to change your regular working hours, days, or location
  • Use when you want to work from home or remotely part or full-time
  • Use when requesting job sharing or part-time work instead of full-time
  • Use when you need to adjust your start or finish times
  • Don't use for casual employees seeking permanent changes to their arrangement

Form selector

Use this form or another form?

Parental leave request

Different legal rights and obligations

Check if you're taking parental leave

Fair Work Ombudsman Parental Leave form

Medical certificate for work capacity

Different process and requirements

Confirm if health issues are affecting your work capacity

Medical certificate from healthcare provider

Workplace discrimination complaint

Different legal protections and processes

Determine if you're experiencing discrimination or just needing flexibility

Fair Work Commission complaint form

Deadline or filing window

While there's no strict deadline for submitting this form, Australian workplace laws require employers to respond within 21 days of receiving a request, so submit well in advance of when you need the changes to begin.

Before you submit

  1. 1All personal details are complete and accurate
  2. 2Current work arrangement is clearly described
  3. 3Requested changes are specific and realistic
  4. 4Justification explains benefits to both you and employer
  5. 5Business impact considerations are addressed
  6. 6Form is submitted through appropriate workplace channels
  7. 7A copy is kept for your records

How to file this form

  1. 1Complete all sections of the template with accurate information
  2. 2Specify exactly what changes you're requesting to your work arrangement
  3. 3Provide clear reasons why these changes are reasonable and necessary
  4. 4Consider and address potential impacts on your workplace
  5. 5Submit the completed form to your employer through the agreed method
  6. 6Request written confirmation of receipt
  7. 7Follow up if you don't receive a response within 21 days

Known limitations

  1. 1This template doesn't apply to casual employees
  2. 2Approval is not guaranteed, even with proper submission
  3. 3Some industries or roles may have restrictions on flexible arrangements
  4. 4Emergency requests may require different procedures
  5. 5This form doesn't cover requests for leave or other workplace changes

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 current as of recent Fair Work Ombudsman guidelines, but workplace policies may have additional requirements specific to your industry or employer.

What changed or needs a fresh check

  • Updated to reflect current Fair Work Ombudsman guidelines
  • Includes clearer examples of reasonable flexible work arrangements
  • Improved sections for documenting business impact considerations
  • Added guidance for hybrid work arrangements
  • Updated privacy notice information

Quick Facts

Employees who have been with their employer for at least 12 months and want to change their working arrangements should use this form.
This form captures details about your current work arrangement, the changes you're requesting, and reasons why these changes would work for you and your employer.
Submit this form as soon as you know you need a change to your working arrangements, giving your employer reasonable time to consider your request (typically at least 21 days).
You can submit this form directly to your employer through email, in person, or via your workplace's internal systems if available.
Submitting this form correctly ensures your employer properly considers your request and provides a written response, protecting your rights under Australian workplace laws.
Fill in your personal details and current work arrangement. Clearly describe the changes you're requesting and explain how they would benefit both you and your employer. Submit the completed form to your employer and keep a copy for your records.

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Sources

  • SRCForm issued by Fair Work Ombudsman (FAIR_WORK_OMBUDSMAN)
  • SRCForm number: request for flexible working arrangements template sts
  • SRCForm name: Request for flexible working arrangements template sts
  • SRCAustralian workplace laws require employers to consider flexible work requests
  • SRCEmployees typically need 12 months of service before requesting flexible arrangements
  • SRCEmployers must respond within 21 days of receiving a request
  • SRCNot confirmed in official source: specific submission methods
  • SRCNot confirmed in official source: current version date

Common confusion points

Many employees don't realize they need to explain how their request benefits the business

Some people confuse this form with requesting leave or other workplace changes

Employees often don't know they can request a review if their request is denied

Some workers assume all flexible work requests must be approved

People may not understand the difference between informal requests and formal submissions

Many don't realize they can request changes to trial arrangements

Some employees are unaware of their rights to request flexible work arrangements

People often don't know how to respond if their request is denied

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