Source: XpertHR P&D Date: 03/05/2005 Publisher: XpertHR

Parental leave: Form for an employee to request parental leave (form)

TOPICS:
terms, conditions and employee rights working time and leave

AUTHOR: David Smellie and Lynda Macdonald


Form wording:

Name of employee   Job title  
Date of commencement of employment  
Amount of parental leave taken previously in respect of relevant child  

I would like to apply for [ ] [week(s)/day(s)] unpaid parental leave from [date] to [date]. (applications for parental leave in periods of a day or multiples thereof may be made only where the child in question is disabled)

The leave requested relates to my [baby/son/daughter] [name where applicable] [due on [ ] / who was born on [ ] / who was adopted on [ ]] [and who has been awarded Disability Living Allowance].

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