Maternity Leave Request - Template, Sample Form

Valid in Philippines

Create your Maternity Leave Request for use in Philippines. 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.

  • Answer 8 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

How it works

  1. 1Answer a few simple questions
  2. 2Preview your document live
  3. 3Pay once - download in Word & PDF

Below you can preview the Maternity Leave Request, complete it by answering a few plain-English questions, and download a ready-to-sign copy in Word and PDF — tailored for use in Philippines.

Frequently asked questions

What is a Maternity Leave Request?

A Maternity Leave Request is a ready-to-use legal template for Philippines. You complete it by answering a few plain-English questions, then download the finished document in Word and PDF.

What does the Maternity Leave Request cover?

The Maternity Leave Request is organised into sections covering Re, Maternity leave application;, so the important points are captured in a clear, consistent structure.

What formats can I download?

You can download your completed Maternity Leave Request as an editable Microsoft Word (.docx) file and as a PDF.

Can I edit the document later?

Yes — save it to your account and you can re-open, edit and re-download it at any time.

Prepared and reviewed by the LegalDocs team.

Document preview

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Re: Maternity leave application;


Dear Sir or Madam,

I am writing to formally apply for maternity leave due to my pregnancy, and I intend for my leave application to start on ________. Attached herewith is a medical certificate issued by my physician showing the details of my pregnancy which states that the estimated date of my delivery is ________.

Pursuant to R.A. 11210 or the Expanded Maternity Leave, I am entitled to claim a maternity leave for a period of one hundred and five (105) days.

You may contact me at ________, and if I may be unreachable using my contact details during my leave, I will be happy to discuss matters that require my attention upon my return.

Thank you.


Sincerely,



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