Work From Home Request Form
A work from home request form for regular home days each week, with which days, from when, core hours, and how the team can reach you.
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- Fields
- 11 questions
- Layout
- Classic, every question on one page
- Theme
- Default, switchable in the preview
- Updated
- 5 October 2026
Categories
- HR form templates
- HR Forms
- Remote Work Forms
- Request Forms
Form type
Ideal for
- Employees
- Managers
- HR teams
Best used in
- Hybrid schedules
- Flexible working
- Temporary arrangements
About this template
Most work from home requests are for a regular pattern, Mondays and Fridays at home, for example. This form lets the employee tick the days, choose every week or every other week, and set a start date and an end date if it is temporary.
Start and finish times on home days tell the team when to expect replies. The employee chooses how they can be reached, chat, email, phone, or video, and explains why the change helps.
Use it alongside your hybrid policy. For one off days at home, the request to work from home template is shorter and asks only for the reason and the dates.
Templates are a starting point, not legal or professional advice. Where a form carries consent, medical, or contractual wording, have somebody qualified review it against the rules that apply to you before you publish.
Fields in this template
- Full name*Short text
- Work email*Email
- Team*Short text
- Days you would like to work from home*Multiple choice
- How often?*Single choice
- Starting from*Date
- Until, if this is for a set periodDate
- Start time on home daysTime
- Finish time on home daysTime
- You can reach me byMultiple choice
- Why would this help you and the team?Long text
Every field can be renamed, reordered, made optional, or removed once the template is open in the builder.
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Frequently asked questions
- What should a work from home request include?
- Which days you want at home, how often, from when, your working hours on those days, how colleagues can reach you, and a short reason why it helps you and the team.
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