Template letters for flexible working arrangement requests

Template
The flexible work templates are a guide for employees who are making a request, and employers responding to a request, for a flexible work arrangement under state employment laws.
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From 31 January 2025, in specific circumstances, employees in the WA state industrial relations system have an entitlement to make a written request for a flexible work arrangement. Their employer must give them a written response within 21 days.

Flexible working arrangement requests outlines the specific circumstances in which an employee can make a request, and employer requirements for responding to a request. The information on this page should be read by employers and employees before using these templates.

There is no set form or format for a written request for a flexible work arrangement or an employer response, but there is specific information that must be provided in writing.

The Department of Energy, Mines, Industry Regulation and Safety has provided these templates as a general guide only and they are not designed to be comprehensive or to provide legal advice. The department does not accept liability for any claim which may arise from any person acting on, or refraining from acting on, this information. 

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