Form for an employee to request parental leave

Authors: David Smellie and Lynda Macdonald

When to use this model parental leave form

Use this model document when drafting a parental leave application form.

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].