ࡱ> hjg bjbjWW 4<55 RRRRRfff8,fXVVVVV111MXOXOXOXOXOXOX$ZF]sXR11111sXRRVVX&WWW1:RVRVMXW1MXWW:,V`@~Ok= 9XX<XGR^k^^R;11W11111sXsX:111X1111^111111111 : Form B Application for Part-time Working and Flexible Retirement Section 1 To be completed by member of staff making the request Employee Name Department Faculty Current working hours and pattern per weekStart date for change of working hours and patternNew working hours and pattern per weekDate of 1st flex retirementAmount of USS pension flexed at 1st flex (%)Date of 2nd flex retirementAmount of USS pension flexed at 2nd flex (%)Implications of change on the work of the department/team and suggestions for addressing these I have noted that if the request is approved, a minimum 3 months notice after approval date is required, to allow for pension processing in accordance with USS requirements. Employee signed .. Date .. Section 2 To be completed by Line Manager and Head of Department Request approved Request not approved Please speak to your HR Consultancy contact before signing Reasons not approved state relevant criteria in Work Life Balance Policy Comments Line Manager and Head of Department Declaration: I confirm the following: I have considered this request in accordance with the criteria in the Work Life Balance Policy. Where approved, I agree the request meets the business needs of the department. Line Manager name: Signature Date: . Head of Department name: . 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