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Notice for Additional Maternity Leave - Template Form

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Phone: ________
Email: ________


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Re: Subsequent Written Notice for Availment of Additional Thirty (30) Days Maternity Leave under Republic Act No. 11210


Dear ________,


§ 1. Purpose of this Notice. I, ________, of legal age and presently employed with ________ as ________ (Employee Number: ________), respectfully write to formally notify you of my intention to avail myself of the additional maternity leave of Thirty (30) Days, without pay, in addition to the One Hundred Five (105) Days of paid maternity leave I am currently enjoying in connection with my live childbirth on ________.


§ 2. Statutory Basis. This notice is given pursuant to Section 3, paragraph (a)(3) of Republic Act No. 11210, otherwise known as the “105-Day Expanded Maternity Leave Law,” in relation to Rule IV, Section 1(C) of its Implementing Rules and Regulations (Joint DOLE-CSC-SSS Administrative Order No. 01, Series of 2019), which entitles a qualified female worker who has undergone live childbirth to an optional extension of leave for an additional period of Thirty (30) Days, without pay; Provided, that the employer is given due notice, in writing, at least Forty-Five (45) Days before the end of the maternity leave.


§ 3. Period of Extension. Accordingly, I hereby give notice that I intend to extend my maternity leave by Thirty (30) Days, without pay, to commence immediately upon the expiration of my current maternity leave.


§ 4. Timeliness of Notice. My current maternity leave is scheduled to end on ________. The additional leave shall therefore run from ________ until ________, and I intend to resume the performance of my duties on ________. This notice is being served on you not later than Forty-Five (45) Days before the end of my maternity leave and is thus well within the period prescribed by law.

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Should my available leave credits be insufficient to cover the entire period of extension, I respectfully confirm my understanding that the unoffset portion shall be considered as leave without pay, consistent with Section 3(a)(3) of Republic Act No. 11210.


§ 7. Supporting Documents. Attached herewith, for your records and reference, are the following: (i) a copy of my Notice of Allocation/Initial Maternity Leave Application previously filed; (ii) my medical certificate and proof of childbirth; and such other documents as you may reasonably require, namely ________.


§ 8. Contact and Acknowledgment. Should you have any questions or require any further documentation in connection with this request, please do not hesitate to contact me at the contact details indicated above. Kindly acknowledge receipt of this notice by affixing your signature on the acknowledgment portion below. Thank you for your kind consideration and approval of this matter.


Respectfully and sincerely yours,



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Employee


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ACKNOWLEDGMENT OF RECEIPT

Received this ________ day of ________, at ________, Philippines.



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For and on behalf of the Employer
Designation: ________

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