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Form for employee to request to vary dates of paternity leave (adoption within UK before 6 April 2024)

Author: Jo Stubbs

When to use this model paternity leave form

Use this model form to give an employee who has requested paternity leave the means to notify you of a variation to the dates of the paternity leave, where the expected date of placement is before 6 April 2024.

For a version of the form reflecting reforms introduced by the Paternity Leave (Amendment) Regulations 2024, see our Form for employee to cancel or vary dates of paternity leave (adoption within UK on or after 6 April 2024).