This remote work request form helps HR teams and managers collect and review employee requests for work-from-home arrangements in a structured way. Whether you’re managing hybrid schedules, temporary remote work, or permanent flexible arrangements, this form captures all the essential details to evaluate requests and maintain clear documentation.

Employees provide their personal information, including names, email, employee ID, position or title, and department, for accurate identification and tracking. The work-from-home detail section collects the request date, the reason for requesting remote work, and the specific date range the employee wants to work remotely.

A day selection section allows employees to choose which days of the week they’d like to work from home, Monday through Friday, making it easy to plan hybrid schedules or partial remote arrangements. An additional notes field lets employees explain scheduling preferences, equipment needs, or any other relevant details to support their requests.

Ready to import and fully customizable, this template works for any organization managing remote or hybrid work policies. Adjust the departments, reasons, and fields to match your company’s workflow, and start collecting remote work requests today.