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FairWorkMate

Flexible Work Request Letter (Section 65)

Free template for a flexible working arrangement request under section 65 of the Fair Work Act. Covers eligibility grounds and the 21-day response. Not legal advice.

Last verified: 1 July 2025

Your details

Employer / manager

Eligibility

Ground(s) on which you qualify (tick all that apply)

The change you're asking for

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General information and estimates only — not legal, financial, or tax advice. Always verify with the Fair Work Ombudsman (13 13 94) or a qualified professional.