Letter Requesting Parental Leave - Template Form Pro · AU-law

Valid in Australia · drafted to comply with local law

Create your Letter Requesting Parental Leave - Template Form for use in Australia. Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share. This version has been professionally rewritten to comply with local law.

  • Answer 23 simple questions — the document fills in as you go
  • Live preview: watch your document update in real time
  • Download as Word (.docx) and PDF
  • Edit your answers and re-download anytime
Save to access it later, on any device.

Fill in the details

0/23

Type below — the document on the right updates as you go.

Letter Requesting Parental Leave - Template Form
🔒The clauses below are blurred in the preview. Fill in your details, then pay once to unlock the full document and download it as Word & PDF.

Letter Requesting Parental Leave
Instructions for Use

This letter is intended to assist an eligible employee to give notice of, and request, unpaid parental leave under Division 5 of Part 2-2 of the Fair Work Act 2009 (Cth) and the National Employment Standards (NES).

This letter is in two parts. The first part should be provided to the employer at least 10 weeks before the intended start of the period of leave, unless it is not practicable to do so, in which case it should be provided as soon as practicable (see s 74 of the Fair Work Act 2009 (Cth)).

The second part, headed "Confirmation or Change of Leave Details", should be provided to the employer at least 4 weeks before the start of the period of leave, unless it is not practicable to do so, in which case it should be provided as soon as practicable. It confirms that the dates of leave first requested remain appropriate, or advises of any changes to those dates (for example, if the expected date of birth has changed).

________
________
________
Email: ________
Phone: ________

________
________
________
________
Email: ________

Date: ________

RE: Request for Unpaid Parental Leave under the Fair Work Act 2009 (Cth)

Dear ________,

§ 1. I am writing to give notice of, and to formally request, a period of unpaid parental leave in accordance with Division 5 of Part 2-2 of the Fair Work Act 2009 (Cth) and the National Employment Standards.

§ 2. The expected date of birth of my child is ________. This letter constitutes my notice and request for parental leave for the purposes of s 74 of the Fair Work Act 2009 (Cth).

§ 3. I confirm that, as at the expected date of birth, I will have completed the period of continuous service required for an employee to be entitled to unpaid parental leave under the National Employment Standards. My date of commencement of employment was ________.

§ 4. I request the following period of unpaid parental leave:

  • Intended start date: ________
  • Intended end date: ________
  • Total period of leave: ________

§ 5. I understand that, under the National Employment Standards, an eligible employee is entitled to up to 12 months of unpaid parental leave, with a right to request a further period of up to 12 months. I reserve my right to request an extension of leave in accordance with s 76 of the Fair Work Act 2009 (Cth), and I will provide any such request in writing at least 4 weeks before the end of my initial period of leave.

§ 6. I intend to apply to Services Australia for Parental Leave Pay under the Australian Government Paid Parental Leave Scheme established by the Paid Parental Leave Act 2010 (Cth). I will provide any documentation reasonably required by you in connection with that scheme.

§ 8. I confirm my present intention to return to my pre-leave position at the conclusion of my leave, consistent with my entitlement to return to work under s 84 of the Fair Work Act 2009 (Cth).

§ 9. Please find enclosed a copy of the relevant documentation in support of my request, including confirmation of my expected date of birth. Should you require any further information or documentation in order to process this request, please do not hesitate to contact me at your earliest convenience.

§ 10. I understand that I am required to confirm or, if necessary, amend the dates of my leave at least 4 weeks before the leave is due to commence, unless it is not practicable to do so, and I have completed the relevant section below for this purpose.

§ 11. I look forward to working with you to ensure a smooth transition for my leave and for my return to work.

Yours faithfully,



________

Confirmation or Change of Leave Details

Complete this section and provide it to the Employer at least 4 weeks before the start of the period of leave (unless it is not practicable to do so), in accordance with s 74(4) of the Fair Work Act 2009 (Cth).

I confirm that the dates of my parental leave are as follows:

  • Start date: ________
  • End date: ________
  • Total period of leave: ________


..........................................................
Signature of employee


________
Full name of employee


________
Date of signing


Acknowledgement of Parental Leave

This section is to be completed by the employee's manager or supervisor on behalf of the Employer.


..........................................................
________
Full name of manager/supervisor


..........................................................
Signature of manager/supervisor


________
Date of signing

Fields you complete are inserted into the document live. This template is general guidance only — not legal advice.