Form wording:
| Name of employee |
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| Job title |
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| Date of commencement of employment |
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| I previously notified you that I wished to start my maternity leave on |
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| I now wish to vary this date. Instead of starting my maternity leave on the above date, I would like to start my leave on |
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| My expected date of childbirth is |
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| Signed |
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| Dated |
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If you have applied to bring forward your maternity leave start date, please return to [name] at least 28 days prior to the new date on which you wish your maternity leave to commence. | |
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