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Flexible Working Arrangement Request Letter – Australia (Fair Work)

Use this free flexible work request letter australia (Australia): fill it in online, download it as Word or PDF, and follow our step-by-step guide – where to send it, whether it needs notarizing, what to attach and mistakes to avoid.

🇦🇺 Australia📄 Word & PDF✍️ Editable✅ Free🗂️ Jobs & HR
Template at a glance
Country🇦🇺 Australia
Document typeJobs & HR
FormatWord, PDF & fill in online
CostFree
Time to completeabout 5 minutes
NotarizationNot required

What is this letter for?

Eligible employees (with 12 months’ service, carers, parents, employees with disability, people over 55 and others) can request flexible work. The employer must respond in writing within 21 days.

Where do you send it?

Give it to your employer in writing; they must respond in writing within 21 days.

Not required. No notarization is needed: sign the letter by hand (or electronically if accepted) and keep proof of when you sent it.

What you need before you start

  • The change you want
  • Why you are eligible
  • How the business can manage it

How to use this template

  1. Click each yellow field inside the letter and type your details directly (Enter jumps to the next field).
  2. Read the text through; the “Edit” button lets you change any sentence.
  3. Click “Word”, “PDF” or “Copy”, then sign and send.

Free template : flexible work request letter australia

Your full name

Street address

Suburb STATE Postcode

Email | Phone

 

Date

 

Manager name

Company name

Company address

 

Re: Request for flexible working arrangement (s 65 Fair Work Act)

Dear Name,

I am requesting a flexible working arrangement under section 65 of the Fair Work Act 2009.

I am eligible because reason – e.g. parent of a school-age child, carer, over 55. I would like to change my hours / pattern / location to requested arrangement from date.

I believe this can be managed by solutions.

Kind regards,

 

Your full name

⚠️ Disclaimer: this template is for general guidance only and is not legal advice. Always check the requirements of the organization you are writing to before sending it.

Common mistakes to avoid

  • ❌ Not explaining why you are eligible.
  • ❌ No proposed arrangement.
  • ❌ Not keeping a copy.

Tips before you send it

  • Make the request in writing.
  • Explain the reason for the change.
  • Your employer must reply within 21 days.

Frequently asked questions

Can my employer refuse?

Only on reasonable business grounds after discussing it with you.

Can I challenge a refusal?

Yes, disputes can go to the Fair Work Commission.

Where do I send this letter (flexible work request letter australia)?

Give it to your employer in writing; they must respond in writing within 21 days.

Does this letter (flexible work request letter australia) need to be notarized?

Not required – No notarization is needed: sign the letter by hand (or electronically if accepted) and keep proof of when you sent it.

✍️ Written by the Modèles Demandes editorial team using official sources and local administrative practice, and reviewed regularly.

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