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Letter Requesting Parental Leave - Template Form

✓ Valid in Australia

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.

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Letter Requesting Parental Leave - Template Form
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Letter Requesting Parental Leave
Instructions for use

________
________
________
 Email: ________
Phone: ________

________
________
________
Email: ________

Date.................................

RE: Maternity Leave

Dear Employer,

This letter will outline my formal request for maternity leave. As you are already aware, I am pregnant, and my due date is ________. Please consider this letter as my official parental leave request.

I am requesting the following maternity leave:

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

I intend to apply for Parental Leave Pay under the Australian Government Paid Parental Leave Scheme. I will also be submitting this request to the appropriate department in our organisation.

I plan to have all of my work properly assigned to co-workers prior to my absence. I am open to any requests or suggestions as to how this should be done. I also request that no work-related calls, emails, or other obligations be forwarded to me during my leave. I do not anticipate any problem returning to work as usual after my leave period.

I also would like to request a second period of maternity leave at a later date, but I will be in contact in due course to discuss this.

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 to Employer at least 4 weeks before starting leave (unless it is not practicable to do so).

  • Start date:........................................................................

  • End date:.........................................................................

  • Total period of leave:.......................................................



..........................................................
________


..............................................
Date of signing



Acknowledgement of parental leave

This section is to be completed by manager or supervisor.


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


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


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Date of signing

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