Remote Work Policy
Docs + Word7 pages
Free
- Type
- Document
- Price
- Free
- Pages
- 7 · US Letter
- Style
- Minimal
- Difficulty
- Beginner
- Updated
- November 6, 2026
Every page (7)
Overview
A flexible working request goes wrong when the form is vague, the manager decides alone, or nobody explains what happens after a refusal. This pack follows one request from start to finish: the summary of what is asked, the impact on the team, the proposed pattern, the decision with owners and dates, and the appeal.
The sample is a request from Tessa Brandt at Orrindale Group to work three days in the office, with a three-month trial from April 5, 2027, a $450 allowance and a review on June 28, 2027. Replace the names, dates, allowances and response times with your own policy, and check them against the flexible working rules where you operate.
Useful for
- An employee putting a hybrid or reduced-commute request in writing with the reasons and the proposed pattern
- A manager and HR partner recording the impact, the decision, the trial dates and who does what next
- A people team giving every request the same steps, timescales and appeal route to keep decisions fair
What's included
- A request summary with headline figures, four numbered key points and a recommendation
- An impact scorecard with targets, trends and green, amber and red status for the team
- A proposed-pattern page with an attendance trend, a weekly split chart and the drivers behind the pattern
- A decision record with the agreed terms and an action list with owners and due dates
- A two-column appeal guide covering who hears it, what to include and what happens next
- A make-it-yours guide page with five steps for replacing the sample
How to use it
- 1
Click Make a copy in Google Docs, then confirm on the Google page. The copy is saved to your own Google Drive.
- 2
Replace Orrindale Group, the employee, the pattern, the dates and the allowance with the real request and your own policy.
- 3
Update the scorecard with your team's figures and mark each line green, amber or red with a short reason.
- 4
Record the decision, the trial dates and the owners, and set the response and appeal timescales your local rules require.
- 5
Delete the guide page, then share the pack with the employee and HR.
What you need
Requirements
- A Google account with access to Google Drive
Works with
- Google Docs
- Microsoft Word (download the .docx)
Questions
How long should a response take?
The sample uses 28 days at most, with a typical reply in about 19. Check the timescale that applies where you work, because some places set a legal limit.
Should the first arrangement be a trial?
A fixed trial of about three months with a review date lets both sides test the pattern, then keep, change or end it on evidence rather than on assumptions.
Are the company and people real?
No. Orrindale Group, Tessa Brandt, Dana Reyes and every date and figure are fictional sample data. Replace them with your own details before you use the form.
- #flexible-working
- #hybrid-work
- #request-form
- #hr-template
- #remote-work-policy
- #google-docs
- #appeal-process
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