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Letter to Request Flexible Working

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This should be the date which the letter will be signed and sent. This should be entered for all cases but it is especially important for employees and any eligible agency workers who are making a statutory request. This is because the law specifies a statutory request must be in writing and dated.



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Dear Sir/Madam,

RE: Flexible Working Request

I write to make a request for flexible working. My request is sent in exercise of my contractual right under section 33 of the NHS terms and conditions of service.

You will be aware that I have been continuously employed by ________ since ________ as a ________.

My current working arrangements are as follows:

________

My request is that my terms and conditions of employment be altered so as to change my hours of work to the following:

________

I would like this change to take effect on ________.

My request relates to the risk posed by the ongoing COVID-19 pandemic. I am particularly concerned about:

________

I am recognised as a vulnerable person in terms of the risk posed by COVID-19 in view of the following condition: ________.

I wish to advise you that I have a disability, namely: ________. As a result of that disability, I currently suffer from the following disadvantages:

________

The purpose of this flexible working request is to seek an adjustment to the way I work in order to alleviate those disadvantages. My requested change to my terms and conditions of employment would alleviate those disadvantages as follows:

________

I believe the requested changes to my terms and conditions of employment would have the following beneficial effects on ________:

________

I appreciate that the requested changes to my terms and conditions of employment may also give rise to the following issues for ________:

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However, these issues could easily be addressed.

5 8222 2258555 22 5255822 2522 225 58 22 252 2252 82228 22 82 25222 82 52852822 22 22 5285282.

Your sincerely,



________

See your document
in progress

________
________

________

________
________


Dear Sir/Madam,

RE: Flexible Working Request

I write to make a request for flexible working. My request is sent in exercise of my contractual right under section 33 of the NHS terms and conditions of service.

You will be aware that I have been continuously employed by ________ since ________ as a ________.

My current working arrangements are as follows:

________

My request is that my terms and conditions of employment be altered so as to change my hours of work to the following:

________

I would like this change to take effect on ________.

My request relates to the risk posed by the ongoing COVID-19 pandemic. I am particularly concerned about:

________

I am recognised as a vulnerable person in terms of the risk posed by COVID-19 in view of the following condition: ________.

I wish to advise you that I have a disability, namely: ________. As a result of that disability, I currently suffer from the following disadvantages:

________

The purpose of this flexible working request is to seek an adjustment to the way I work in order to alleviate those disadvantages. My requested change to my terms and conditions of employment would alleviate those disadvantages as follows:

________

I believe the requested changes to my terms and conditions of employment would have the following beneficial effects on ________:

________

I appreciate that the requested changes to my terms and conditions of employment may also give rise to the following issues for ________:

________

However, these issues could easily be addressed.

5 8222 2258555 22 5255822 2522 225 58 22 252 2252 82228 22 82 25222 82 52852822 22 22 5285282.

Your sincerely,



________