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An employer must provide a written response to a flexible working arrangement request within 21 days.  \nThe Flexible working arrangement requests page of the Department of Local Government, Industry Regulation and Safety (LGIRS) website at [www.lgirs.wa.gov.au/flexible-work-requests](www.lgirs.wa.gov.au/flexible-work-requests)[ ](www.lgirs.wa.gov.au/flexible-work-requests)outlines the specific circumstances in which an employee can make a request and employer requirements for responding to a request.  \nThe information on the LGIRS website should be read before using this template.  \nHow to use this template  \nInstructions are provided in blue writing to assist you and should be deleted once you have finished.  \nYou can tailor the content to suit your circumstances, but your written request must explain:  \n• what flexible working arrangement you are seeking;  \n• the reasons for seeking that arrangement; and  \n• which of the specific circumstances in which an employee can make a request apply to you.  \nDisclaimer  \nThe Department of Local Government, Industry Regulation and Safety has provided this template as a general guide and it is 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.  \nPrivate and confidential  \nDear Insert employer or manager’s name  \nRequest for a flexible working arrangement  \nI am requesting a flexible working arrangement that is different to my current working arrangements, in accordance with my minimum entitlement to make a flexible working arrangement request under the state Minimum Conditions of Employment Act 1993 (MCE Act) .  \nI currently meet one or more of the specific circumstances required to be eligible to make a flexible working arrangement request under the MCE Act.  \nChoose the option/s that applies to you and delete those that do not apply  \n• I am pregnant  \n• I am the parent/guardian of a child who is school age or younger  \n• I am a carer (as defined in the Carers Recognition Act 2004)  \n• I have a disability  \n• I am 55 or older  \n• I am experiencing family and domestic violence  \n• I need to provide care or support to a member of my immediate family or household who requires care or support because they are experiencing family and domestic violence.  \nI am also eligible to make this request because:  \nChoose the option that applies to you and delete the one that does not apply  \n• I am a full time or part time employee who has worked continuously as an employee of this business for the last 12 months.  \n• I am a casual employee who has worked regularly and systematically as an employee of this business for the last 12 months and have a reasonable expectation of continuing todo so.  \nI would like to change my current working arrangements to: Insert the details of flexible work arrangement you are requesting including the specific days/hours/times/locations of work.  \nThese changes will assist me because Insert reasons.  \nI would like this working arrangement to start from Insert date.  \nUnder the MCE Act, as my employer you are required to provide a written response to my request with 21 days. You can get information about the steps you need to take to respond to my request on the Flexible working arrangement requests page of the Department of Local Government , Industry Regulation [and Safety website at](and Safety website at www.lgirs.wa.gov.au/flexible-work-requests)[ ](and Safety website at www.lgirs.wa.gov.au/flexible-work-requests)[www.lgirs.wa.gov.au/flexible-work-requests](and Safety website at www.lgirs.wa.gov.au/flexible-work-requests).  \nI am happy to discuss this request at a time that is con","cbCaieyfUAqkjTiQ","https://ap.wps.com/l/cbCaieyfUAqkjTiQ","pdf",304691,"English","# How to use this template\n## Information requirements in the written request\n# Disclaimer and confidentiality\n# Letter content template\n## Eligibility circumstances\n## Request details and employer response steps\n## Closing and signature","[{\"question\":\"What is the employee entitled to do under the WA system?\",\"answer\":\"Employees in the WA state industrial relations system may make a written request for a flexible working arrangement in specific circumstances. The request must be provided in writing.\"},{\"question\":\"How long does an employer have to respond to the request?\",\"answer\":\"The employer must provide a written response to the flexible working arrangement request within 21 days.\"},{\"question\":\"What information must the employee include in the written request?\",\"answer\":\"The request must state what flexible working arrangement is being sought, the reasons for seeking it, and which specific eligible circumstances under the MCE Act apply. It should also include the requested start date and details of the proposed days/hours/times/locations.\"}]","Employee request for a flexible working arrangement - template letter | PDF",1789564746]