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Paternity Leave Request - Template, Sample Form

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Re: Paternity leave application;


Dear Sir or Madam,


I am writing to formally apply for paternity leave due to my spouse's pregnancy, and I intend for my leave application to start on ________.

I am claiming paternity leave pursuant to R.A. 8187 or the Paternity Leave Act which entitles me to claim seven (7) days of leave with pay beginning on the date mentioned above, and I am compliant with the requirements of the said legislation. Specifically, my claim for leave is within the first four pregnancies of my spouse, I have timely sent this notice within a reasonable time before my spouse's expected date of delivery which is on ________, and I am currently living with my spouse.

Attached herewith is a medical certificate issued by my spouse's physician with the proof of my spouse's pregnancy showing that my spouse's expected date of delivery is on ________.

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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