[Addressee]
[Address line 1]
[Address line 2]
[Town]
[County]
[POSTCODE]
[Date]
Dear [Enter name]
Appeal against flexible working decision
I am writing to inform you that I wish to appeal against the decision outlined in your letter of [Enter date]
regarding my request for flexible working.
The grounds for my appeal are: [please outline]

[Enter details]

[Enter details]
 [Enter details]
I will not be taking up my right to be accompanied./I will be taking up my right to be accompanied, and my
companion will be [Enter name], [Enter job title]*.
Please inform me of the date and venue of the appeal meeting.
Yours sincerely
[Signatory name]
[Job title / Department]
*delete as appropriate