Flexible Working Request Form

Flexible working is now a day one right, and employers must handle requests fairly, consistently, and in line with statutory requirements. This flexible working request form is designed to help you manage requests properly, without overcomplicating the process.

The template provides a clear structure for employees to set out their request, and for managers to record consideration, discussions, and decisions. It includes a dedicated management review section and the full list of statutory reasons for refusal, helping you demonstrate a reasonable and compliant approach.

Suitable for small and growing businesses, this form can be used as a standalone document or alongside your flexible working policy.

What’s included

• employee request section covering common flexible working arrangements
• optional context section for caring, health, or personal circumstances
• structured management review and decision record
• statutory grounds for refusal set out clearly
• right of appeal record

Who this is for

• UK employers and line managers
• businesses without a formal HR function
• organisations reviewing their flexible working process
• employers wanting a simple, compliant approach

Format

• Word document
• easy to edit and brand
• suitable for digital or printed use

This template is provided for general guidance and does not replace tailored HR or legal advice. If you need support assessing requests, applying the reasonableness test, or updating your flexible working policy, we can help.