PATERNITY LEAVE APPLICATION FORM Name: Job title: Department: In the case of births: • Expected date of birth: • Or, if the baby has been born, the actual date of birth: In the case of adoptions: • Date adopter advised of being matched with the child: • Expected date of placement: Terms and conditions Maternity Others , please Specify : _____ Note : Please submit this application to your Div / Dept Head 7 days in advance. maternity, adoptive, paternity and paternal leave. Application forms are available by post at the address listed in the ‘Where to apply’ section below. APPLICATION FOR LEAVE Must be submitted in duplicate Surname (block letters) I/D no. Title: Microsoft Word - Form Vacation Leave Paternity Leave Application Form To be submitted as soon as possible, but no later than the end of the 15th week before the expected week of childbirth or upon receipt of a matching certificate. PATERNITY LEAVE APPLICATION FORM - TEACHING STAFF Form to be completed by qualifying employees submitting an application for paternity leave. Parental Leave Application Form – HR 108 (j) This form is to be used by employees to apply for Parental Leave Please complete in Block Capitals/Tick appropriate boxes Information will be input on the HR/Payroll System for the purposes of Personnel and Payroll Administration. paternity leave, or 90% of your average weekly earnings, whichever is less • ordinary paternity leave — up to two weeks time off. Please complete in Block Capitals/Tick appropriate boxes. MATERNITY SUPPORT AND/OR PATERNITY LEAVE APPLICATION FORM - SUPPORT STAFF Form to be completed by qualifying employees submitting an application for paternity leave. Fill in the form and send it to the Paternity Benefit Section of the Department of Social Protection. Military Caregiver Leave of a Current Servicemember, form WH-385 – use when requesting leave to care for a family member who is a current service member with a serious injury or illness. ... Leave From To of Days Leave From To of Days Vacation Maternity Sick Special Study Compassionate ... After approval return a copy of this form to the Office/Division indicated above . You may also see Sample Application Forms. This is a new form of statutory leave that can be taken in the first year of the child's life. Leave for Occupational Injuries and Diseases Paternity Leave Application Form HR 108 (k1) This form is to be used by employees wishing to apply for Paternity Leave and should be submitted 4 weeks prior to commencement of leave. Name Post/Job title Department (if applicable) Start date of employment National insurance number The baby is due on (insert date from MATB 1) Qualifying Exigency, form WH-384 – use when the leave request arises out of the foreign deployment of the employee’s spouse, son, daughter, or parent. UI2.9 – Application for payment of parental benefits in terms of regulation 6 (3) UI2.9 Application for p arental benefit in terms of section 26 (a) Qualifying UIF contributors can visit any Labour Centre in the country with the prescribed application form and the following support documents to submit for a Parental Benefit claim: Normal Sick Leave (Provide supporting evidence when applicable) Temporary Incapacity Leave Temporary incapacity leave must be applied for on the application form prescribed in terms of the Policy and Procedure on Incapacity Leave and Ill-health Retirement for Public Service Employees. PATERNITY LEAVE APPLICATION FORM - TEACHING STAFF Form to be completed by qualifying employees submitting an application for paternity leave. 1. APPLICATION FOR LEAVE Must be submitted in duplicate Surname (block letters) I/D no. Name Post/Job title Department (if applicable) Start date of employment National insurance number The baby is due on (insert date from MATB 1) In this vacation request form, he may be asked to list the number of extra hours that he may have put in to earn the vacation. To, The Principal, Reckis’s School System, Munich, Germany. You are not entitled to go on leave until you receive an approved copy of this form. My wife had C- … Respected Sir, It is to state with colossal bliss and modesty that I am blessed with a baby girl today. Name Post/Job title Department (if applicable) Start date of employment National insurance number The baby is due on (insert date from MATB 1) Application for Paternity Leave Sample. Paternity Leave Application Form To be submitted as soon as possible, but no later than the end of the 15th week before the expected week of childbirth or upon receipt of a matching certificate. Title: Microsoft Word - Form Vacation Leave Subject: Leave Application for Paternity. This leave is a stand alone entitlement with no sharing permitted and does not affect any existing entitlement to statutory leave i.e. Paternity Leave Application Form To be completed by the employee The form includes a PB2 section which must be completed by your employer to certify that you are entitled to paternity leave. Please read through the terms and conditions below and if you think you might qualify, fill in the form opposite and complete the declaration on page 2. An employee who wishes to apply for leave to go on a vacation has to use the aforesaid form for the purpose. HR 108 (k) V3 1st Sept 2016 Page 1 of 2 Revised 01/09/2016 Section 1. ... Leave From To of Days Leave From To of Days Vacation Maternity Sick Special Study Compassionate ... After approval return a copy of this form to the Office/Division indicated above .

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