Letter of Request for Maternity or Paternity Leave - Word & PDF Template Form

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Staff No.: ________

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The Human Resources Manager
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Dear Sir/Madam,

RE: FORMAL APPLICATION FOR MATERNITY LEAVE

§1. Introduction

1.1. I, ________, currently employed by ________ ("the Company") in the capacity of ________ within the ________ department, hereby formally apply for maternity leave.

1.2. This application is made pursuant to Section 54 of the Labour Act, Cap. L1, Laws of the Federation of Nigeria 2004, the relevant provisions of the Company's Employee Handbook/Conditions of Service, and the terms of my Contract of Employment dated ________.

§2. Particulars of the Leave

2.1. I am presently expecting, with an estimated date of delivery of ________, as confirmed in the medical certificate issued by a registered medical practitioner and attached to this application.

2.2. I respectfully request maternity leave for a period of ________, to commence on ________ and to conclude on ________, after which I intend to resume my official duties.

2.3. In accordance with Section 54 of the Labour Act, I am entitled to maternity leave of not less than six (6) weeks before the expected date of confinement and six (6) weeks thereafter, together with the wages/remuneration payable during such leave as provided under the said Act and the Company's policy.

§3. Entitlement to Remuneration

3.1. I respectfully request that I continue to receive my salary and applicable allowances during the period of leave in accordance with Section 54(4) of the Labour Act and the Company's Conditions of Service, the agreed rate being ________.

3.2. Where applicable, I confirm that I have completed the qualifying period of continuous service required under the Company's policy, having been in the Company's employment since ________.

§4. Handover and Continuity of Work

4.1. Prior to the commencement of my leave, I undertake to complete a proper and orderly handover of all my responsibilities, pending assignments, and correspondence to ________, who will, subject to the Company's approval, attend to my duties and emails during my absence.

4.2. I shall prepare a detailed handover note and ensure that all relevant files and records are duly transferred to facilitate a seamless transition.

§5. Contact During Leave

5.1. During the period of my leave, I may be reached, where strictly necessary, on my mobile telephone number ________ or by electronic mail at ________.

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§6. Resumption

6.1. I confirm my intention to resume my position with the Company on ________, and I shall give the Company adequate notice of any change to this date in line with the Labour Act and the Company's policy.

§7. Request for Approval

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7.2. Kindly find attached the medical certificate confirming my expected date of delivery and such other documents as the Company may require in support of this application.

I am looking forward to your favourable consideration and response.

Yours faithfully,

_______________________

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RECEIVED / ACKNOWLEDGED BY THE COMPANY:

Name: ________
Designation: ________
Signature: _______________________
Date: ________