Questionnaire - FasterDraft

Who is Employee?

Indicate Employee's full name (i.e. this a person who is sending this letter):

Indicate Employee's full residential address:

Select the date on which this letter is being signed:

Select Employee's type:

employee
worker
agency worker

Employee — A person working under an employment contract with full statutory employment rights, including protection against unfair dismissal and redundancy pay.

Worker — A broader employment status covering individuals who personally perform work but may have more limited employment rights than employees.

Agency Worker — A person supplied by a recruitment agency to work temporarily for another business under an agency working arrangement.

Indicate Employee's current job title:

Describe the job role of the agency worker requesting flexible working:

Describe Employee’s current duties and responsibilities in their role:

Select the date on which Employee started working for the Employer:

Who is Employer?

Indicate Employer's full name:

Provide Employer's registered business address:

Indicate full name of Employer's representative to whom this letter is being addressed:

Usually this is a head of HR department or the company’s director.

General Information

Has Employee worked continuously for the Employer for more than 26 weeks?

Employees who have worked for the Employer continuously for more than 26 weeks are entitled for a remote working arrangement.

Who is Employee?

Indicate Employee's full name (i.e. this a person who is sending this letter):

Indicate Employee's full residential address:

Select the date on which this letter is being signed:

Select Employee's type:

Indicate Employee's current job title:

Describe the job role of the agency worker requesting flexible working:

Describe Employee’s current duties and responsibilities in their role:

Select the date on which Employee started working for the Employer:

Who is Employer?

Indicate Employer's full name:

Provide Employer's registered business address:

Indicate full name of Employer's representative to whom this letter is being addressed:

General Information

Has Employee worked continuously for the Employer for more than 26 weeks?

Has the Employee requested a remote working arrangement in the past 12 months?

Describe in detail how Employee wishes to change their current working pattern to a remote working arrangement:

Select the date on which the Employee is willing to start working remotely:

Does Employee have any physical disability for which a remote working arrangement would be beneficial?

Describe the nature of Employee’s disability and how it affects the Employee’s current working arrangement:

Describe how a remote working arrangement would help alleviate these disadvantages:

Describe how a remote working arrangement would be beneficial for both parties:

Do you want to add a signature?

Employer's signature:

Select a template's format: