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    Maternity Leave Form

    Uploaded by

    vidhyaa1011
    The employee notifies their employer of their intention to take maternity leave starting on a specified date. They enclose the required MATB1 form signed by their doctor. They also indicate their planned return to work date but note it may change. The employer outlines the legal requirements around maternity leave dates, notice periods, and pay to ensure compliance. The employee signs to acknowledge the information provided.

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    © All Rights Reserved
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    Maternity Leave Form

    Uploaded by

    vidhyaa1011
    1K views2 pages
    The employee notifies their employer of their intention to take maternity leave starting on a specified date. They enclose the required MATB1 form signed by their doctor. They also indicate their planned return to work date but note it may change. The employer outlines the legal requirements around maternity leave dates, notice periods, and pay to ensure compliance. The employee signs to acknowledge the information provided.

    Original Description:

    Maternity Leave Form

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    The employee notifies their employer of their intention to take maternity leave starting on a specified date. They enclose the required MATB1 form signed by their doctor. They also indicate their planned return to work date but note it may change. The employer outlines the legal requirements around maternity leave dates, notice periods, and pay to ensure compliance. The employee signs to acknowledge the information provided.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    1K views2 pages

    Maternity Leave Form

    Uploaded by

    vidhyaa1011
    The employee notifies their employer of their intention to take maternity leave starting on a specified date. They enclose the required MATB1 form signed by their doctor. They also indicate their planned return to work date but note it may change. The employer outlines the legal requirements around maternity leave dates, notice periods, and pay to ensure compliance. The employee signs to acknowledge the information provided.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    NOTIFICATION OF INTENTION TO TAKE MATERNITY

    LEAVE
    Employees name
    I confirm my baby is due week commencing
    Form MATB1

    is enclosed
    will follow

    The Company requires you to provide form MATB1.


    This must be signed by your doctor or midwife no more than 20 weeks before the
    baby is due.
    If you fail to provide this form at least 28 days before you intend to start your
    Maternity Leave, the Company will not be able to pay any SMP to which you may be
    entitled.

    I intend to start my maternity leave on

    Date

    You cannot start your maternity leave earlier than the 11th week before your expected
    week of childbirth.
    You must notify the company of your intended start date in the 15 th week before the
    expected week of childbirth
    If you wish to change this date you must give the Company at least 28 days notice of
    when you want to start your maternity leave.
    You can start your maternity leave on any day of the week
    If you are absent from work for a pregnancy-related reason in the 4 weeks before
    your expected week of childbirth, your maternity leave can be started automatically.
    If you give birth before the date you intended to start maternity leave, your leave will
    start on the day after the date of the birth.

    I wish to return to work on


    Date
    You are not required to provide this information at this stage but it would be useful to
    provide us with some indication for planning purposes
    You may not return to work during the Compulsory Maternity Leave Period which is
    the 2 week period after the birth
    Ordinary Maternity Leave will end on the 26th week from when you start maternity
    leave
    Additional maternity leave is a further period of 26 weeks which begins on the day
    following the last day of Ordinary Maternity Leave
    SMP is payable for a total of 39 weeks : 6 weeks at 90% of pay and balance at
    statutory rate
    If you want to return to work before the end of your total maternity leave entitlement
    you will require to give the Company 8 weeks notice.

    Signed

    ________________________ Date

    ___________________ Form M1

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