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Homeworkers Self Assessment Form

HOMEWORKER’S SELF ASSESSMENT FORM

Please complete the following form and return it to your manager. The information you provide will be used to assist your manager to assess the feasibility of allowing you to work from home and will enable appropriate action to be taken to remove or minimise any associated risks before home working, if practicable, is approved.

DETAILS OF THE REQUEST

Name

 

Department

 

Date of request

 

Type of request

If Regular please specify no. of days or hours

Occasional /Regular  

  

  


Last updated on 04/02/2016 10:38:57 | #Atypical & Flexible Working