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 form is a template for employers to respond to employee requests for flexible working arrangements. It should be used when an employee makes a formal request to change their working hours, location, or pattern under Australian workplace laws.

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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 form is a template for employers to respond to employee requests for flexible working arrangements. It should be used when an employee makes a formal request to change their working hours, location, or pattern under Australian workplace laws.

This form captures the employee's request, the employer's consideration process, and the final decision regarding the flexible working arrangement request.

Risk Radar

Scan points
  • 1Always respond within 21 days to avoid potential penalties or disputes.
  • 2Failing to respond within the 21-day timeframe
  • 3Not providing clear reasons for refusal
  • 4Inconsistent treatment of similar requests
  • 5Not documenting the consideration process properly

Plain English

This template helps employers properly respond when an employee asks to change how or where they work. It gives employers a structured way to consider the request and provide a written response, ensuring both parties understand the outcome.

Submission Date

  • Filing date: Employers should respond to flexible working arrangement requests within 21 days of receiving them, as required under Australian workplace legislation.
  • 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

  • When an employee makes a formal request for flexible working arrangements
  • For part-time employees requesting changes to their working hours
  • When considering requests for remote work or location changes
  • For requests to change working patterns, such as job sharing
  • When documenting the employer's response to any flexible work request

Form selector

Use this form or another form?

Employee requesting flexible work

Initiates the formal request process

Ensure employee meets eligibility criteria

Request for flexible working arrangements form

Employer approving with changes

Formalizes agreed changes

Check if new terms require additional documentation

Variation of employment contract

Employer refusing request

Provides written record of refusal

Ensure refusal is based on valid business grounds

Responding to a request for flexible working arrangements template

Dispute about request

Resolves disagreements through formal process

Consider mediation before proceeding

Fair Work Commission application

Request for permanent change

Legally binds the new arrangement

Update employment records and payslip details

Variation of employment contract

Deadline or filing window

Employers must respond to flexible working arrangement requests within 21 days of receiving them, unless the employer and employee agree to extend this timeframe.

Before you submit

  1. 1Confirm the request meets eligibility criteria under workplace legislation
  2. 2Document all factors considered in the decision-making process
  3. 3Provide clear reasons if refusing the request
  4. 4Ensure response is provided within the 21-day timeframe
  5. 5Keep a copy of the completed template for employment records
  6. 6Provide a copy to the employee for their records

How to file this form

  1. 1Receive and date-stamp the employee's flexible working request
  2. 2Assess the request against business needs and operational requirements
  3. 3Complete all sections of the response template
  4. 4Provide written reasons if the request is refused
  5. 5Deliver the response to the employee within 21 days
  6. 6File the completed template with employment records

Known limitations

  1. 1This template is for responding to requests, not for initiating them
  2. 2It doesn't cover all types of flexible work arrangements (some may require separate forms)
  3. 3The template doesn't replace the need for legal advice in complex cases
  4. 4It may not be suitable for requests under enterprise agreements or modern awards

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 reflects current workplace legislation regarding flexible working arrangements, which may be subject to periodic review.

What changed or needs a fresh check

  • Verify the template aligns with current Fair Work Ombudsman guidelines
  • Check that all legislative references are up to date
  • Ensure refusal reasons comply with current workplace laws
  • Confirm processing times reflect current legislation (21 days)
  • Review any recent changes to flexible work eligibility criteria

Quick Facts

Employers or managers who receive formal requests for flexible working arrangements from employees need to use this template to provide a written response.
This form captures the employee's request, the employer's consideration process, and the final decision regarding the flexible working arrangement request.
Employers should respond to flexible working arrangement requests within 21 days of receiving them, as required under Australian workplace legislation.
The template can be completed electronically and kept as part of employment records, or printed and filed according to your workplace document management system.
Properly documenting responses to flexible working requests helps demonstrate compliance with workplace laws, provides clarity for both parties, and can prevent disputes or unfair treatment claims.
First, carefully review the employee's request and consider the business impact. Then, complete all sections of the template, providing clear reasons for approval or refusal. Finally, provide a copy to the employee and retain a copy for your records.

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Sources

  • SRCFair Work Act 2009 (Cth) provisions on flexible working arrangements
  • SRCFair Work Ombudsman guidelines for responding to flexible work requests
  • SRCCurrent legislative requirements for response timeframes
  • SRCEligibility criteria for flexible working requests
  • SRCValid business grounds for refusing flexible work requests
  • SRCRecent updates to flexible working arrangement legislation
  • SRCFair Work Commission processes for disputes about flexible work arrangements

Common confusion points

Confusing the 21-day response timeframe with other workplace notice periods

Not understanding which requests qualify under workplace legislation

Uncertainty about what constitutes valid business reasons for refusal

Misunderstanding the difference between temporary and permanent flexible arrangements

Confusing this form with other workplace agreement forms

Uncertainty about record-keeping requirements for these responses

Not knowing when to involve HR or workplace relations specialists

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