Free Flexible Work Arrangement Form

Please complete the following information to request a flexible work arrangement.
Employee Information
Employee Name
Employee ID
Position Title
Department
Manager/Supervisor
Date of Request
Proposed Flexible Work Arrangement
Requested Start Date
Requested End Date
Type of Arrangement
Remote Work
Hybrid Work
Flexible Hours
Please provide a brief explanation of your reasons for requesting this arrangement and how it will benefit your productivity and work-life balance
Employee Agreement
By signing below, I acknowledge and agree to the following terms:
I understand that this arrangement is temporary and may be subject to periodic review.
I agree to fulfill my job responsibilities and meet performance expectations under this arrangement.
I acknowledge that any breach of this agreement or company policies may result in revocation of the flexible work arrangement.
Date:
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Streamline remote and hybrid work requests with our Flexible Work Arrangement Form Template. Perfect for HR departments, this customizable form, designed with our AI Editor Tool, simplifies the process of approving flexible schedules. Ensure clarity in work arrangements and adapt to employee needs seamlessly—edit, personalize, and implement instantly with ease.