Maternity Leave Notification - Contractual Maternity Pay

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Please note that this form is for employees who will receive contractual maternity pay, above the level of statutory maternity pay.

An employee must give her employer notice of when she intends to take maternity leave and provide a signed maternity certificate as proof. The employer can ask for written notice; this letter is intended to be used by an employee for this purpose.

All female employees are entitled to 26 weeks' Ordinary Maternity Leave and 26 weeks' of Additional Maternity Leave.

There are additional conditions for those entitled to receive Statutory or Contractual Maternity Pay during their period of Ordinary Maternity Leave. For further details please see the Maternity section of our employment guide.

Please note that statutory provisions relating to maternity rights are the minimum, some contracts of employment allow for more generous terms. If so the employee has the right to rely upon the more generous contractual terms.

The clauses in this letter include:

Request for the name and position of medical person who gave certificate

Date employee intends to start maternity leave

Expected week of childbirth

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Document format
Microsoft Word

Delivery method
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