DocMuse is a private, paid service run by The Muse Technology EOOD (Bulgaria). It is not a government website and is not connected with nidirect, the Northern Ireland Courts and Tribunals Service or any other public body. It is not a law firm and is not regulated by the Law Society of Northern Ireland or any other legal regulator; its documents are not legal advice.

Flexible working request to your employer (Northern Ireland)

Northern Ireland · in English · for employees

€2.00Fill it in online free — pay only to download

14 questions · about 6 min

Made for use in Northern Ireland

Fill in the form

Your answers stay on this device for 7 days, or until you clear them.

0 of 0 answered
  • Instant download after payment
  • Backup link emailed to you
  • No account needed

For an employee in Northern Ireland with 26 weeks' service who wants to change their hours, days or place of work — part-time, compressed hours, home or hybrid working: a dated written application under Article 112F of the Employment Rights (Northern Ireland) Order 1996, giving your present pattern, the change, when it should start and its likely effect on the business, and saying you have made no other request in the last 12 months. The employer must meet you within 28 days. Hand it in and email it.

  • Last updated October 29, 2026
  • Document in English

Where a UK document reproduces the words of legislation or of a government publication — UK, Scottish or Northern Irish — it contains public sector information licensed under the Open Government Licence v3.0.

Published byDocMuse

When to use this document

  • You want to go part-time after coming back from maternity leave in Northern Ireland.
  • You want to work from home a few days a week and ask for it formally.
  • Caring for a relative means you need to start and finish work earlier.
  • You want to make a statutory flexible working request to your employer.

What you fill in

The details the document asks for.

  • Employee
  • Employee's address
  • Town or city
  • Employee's postcode
  • Date
  • Person at your employer you are writing to, as you would greet them (e.g. Priya Patel)
  • Employer
  • Employer's postal address (street and number, postcode and town on separate lines)
  • Your working pattern now (hours, days, place)
  • The change you are asking for (hours, days, place)
  • Date you would like the change to start
  • The effect you think the change would have on the business, and how it could be dealt with
  • Reasons or how the change could work, if you want to give them (optional)
  • Date of that earlier request (only if there was one)

Common questions

Who can make a statutory flexible working request in Northern Ireland, and how often?
An employee with 26 weeks' continuous employment, once in any 12 months (Article 112F of the Employment Rights (Northern Ireland) Order 1996). The application must be in writing and dated, say that it is made under that Article, describe the change and when it should start, explain the effect you think it would have on the business and how that could be dealt with, and say whether and when you made an earlier one. The Labour Relations Agency's guide ‘Flexible Working: The Right to Request and Duty to Consider’ is free.
On what grounds can an employer in Northern Ireland refuse flexible working?
Only for one or more of the business reasons the law lists (Article 112G of the Employment Rights (Northern Ireland) Order 1996): extra costs; harm to meeting customer demand; inability to reorganise work among existing staff; inability to recruit extra staff; harm to quality; harm to performance; not enough work at the times proposed; planned structural changes. The employer must give the reason in writing and explain why it applies.
What happens after I make a flexible working request in Northern Ireland?
Unless the employer agrees at once, it must meet you within 28 days and give you its decision in writing within 14 days after the meeting. If it refuses, you can appeal in writing within 14 days. If the employer does not follow the procedure or refuses for a reason outside the list, you can complain to an industrial tribunal after early conciliation with the Labour Relations Agency, normally within three months; the award is up to eight weeks' pay, with a week's pay capped at £783 from April 2026.

How you can sign this document

  • Print it and sign by hand. The signature lines in the document are left blank on purpose — sign on them in ink.
  • Sign it yourself with a qualified electronic signature. If you already hold a QES — Evrotrust, B-Trust, StampIT, ZealiD or any qualified provider on the EU Trusted List, on a card, a USB token, in a mobile app or in the cloud — our signing guide explains step by step how to sign this exact file without invalidating it. Step-by-step help, and a way to check it worked

DocMuse sells documents, not legal advice. Acceptance always depends on the recipient's rules and your local law.

Related documents

  • Appeal against a refused flexible working request (Northern Ireland)

    For an employee in Northern Ireland whose flexible working application has been turned down: a written, dated notice of appeal setting out your grounds — a reason outside the business grounds the law allows, wrong facts, no real discussion — and any alternative you would accept. The appeal goes in within 14 days of the decision; the employer must then hold an appeal meeting within 14 days and decide within 14 days after it. Hand it in and email it.

  • Annual leave request to your employer (Northern Ireland)

    For a worker in Northern Ireland who wants to book paid holiday: a dated written request giving the first and last day and the number of working days, asking for written approval. Unless your contract or holiday rules say otherwise, regulation 18 of the Working Time Regulations (Northern Ireland) 2016 asks for notice of twice the length of the leave, and lets the employer refuse only by counter-notice as long as the leave. The Labour Relations Agency explains the rules free. Send it by email or hand it in.

  • Request for unpaid leave by agreement with your employer (Northern Ireland)

    For an employee in Northern Ireland who needs time off beyond their holiday — a long trip, a family matter, study — and wants their employer's agreement: a letter asking for unpaid leave between two dates, with the return date, and asking the employer to confirm in writing your return to the same job and what happens to holiday, pension and benefits. There is no general right to unpaid leave; parental leave and time off for dependants are separate statutory rights. Hand it in and email it.

  • Request to your employer for reasonable adjustments (Northern Ireland)

    For a worker in Northern Ireland with a disability or long-term health condition who needs changes at work — equipment, hours, duties, the workplace, how meetings are run: a letter asking the employer to make reasonable adjustments under the Disability Discrimination Act 1995, which still applies in Northern Ireland, describing the difficulty at work (not a diagnosis) and the changes asked for, and offering a meeting or an occupational health referral. Access to Work (NI) can also help. Sold blank, to complete by hand, as it holds health data.

  • Maternity leave notice to your employer (Northern Ireland)

    For a pregnant employee in Northern Ireland: the written notice of your pregnancy, the expected week of childbirth, the date you want your maternity leave to start and the date for Statutory Maternity Pay, given by the end of the 15th week before the expected week, with your MAT B1 certificate enclosed or to follow. It asks your employer to confirm in writing, within 28 days, when your leave ends and what you will be paid. nidirect explains maternity pay and leave free. Hand it in and email it.

  • Request to an employer for payslips, P45, P60 or written statement (Northern Ireland)

    For an employee in Northern Ireland whose employer, or former employer, has not given them their papers: one letter asking for any of missing pay statements (Article 40 of the Employment Rights (Northern Ireland) Order 1996), a P60 for a tax year, the P45 after leaving, and the written statement of employment particulars due within two months of starting (Article 33). Fill in only the lines you need; the others drop out. It gives 14 days and names the next steps: an industrial tribunal reference, and telling HMRC. Sent first class and by email.