Letter Requesting Parental Leave - Template Form

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Dear Sir or Madam,

RE: Notice of Entitlement and Intention to Take Shared Parental Leave and to Receive Statutory Shared Parental Pay

1. I am writing to give you formal notice, in accordance with the Children and Families Act 2014, the Shared Parental Leave Regulations 2014 (SI 2014/3050) and the Statutory Shared Parental Pay (General) Regulations 2014 (SI 2014/3051), of my entitlement to and intention to take Shared Parental Leave ("SPL") and to receive Statutory Shared Parental Pay ("ShPP") in respect of my child.

2. The expected week of childbirth (or, where the child has already been born, the date of birth) is ________. My child's actual date of birth is ________ (to be confirmed if not yet known).

3. I confirm that this notice is given at least 8 weeks before the date on which I propose any period of SPL to begin, as required by regulation 8 of the Shared Parental Leave Regulations 2014.

Curtailment of Maternity Leave and Pay

4. As required by law, I shall take the compulsory period of ordinary maternity leave following the birth. My statutory maternity leave commenced (or will commence) on ________ and I give notice that I intend to curtail my maternity leave with effect from the end of ________, so converting the balance of my untaken leave into leave available to be taken as SPL. My total remaining entitlement available as SPL is ________ weeks.

Notice of Intention to Take SPL

5. I hereby give notice of my intention to take ________ weeks of SPL. This is to be taken as a single period of continuous leave which I wish to begin on ________ and end on ________. I intend to return to work on ________.

6. The total amount of SPL available to be shared between me and the other parent is ________ weeks. The amount the other parent intends to take is ________ weeks.

Notice of Intention to Receive ShPP

7. I also give notice that I wish to receive Statutory Shared Parental Pay for the period during which I am absent on SPL. My current entitlement to ShPP is ________ weeks. During my SPL I wish to receive ________ weeks of ShPP, to be paid between the week commencing ________ and the week commencing ________. I understand that ShPP is payable at the statutory rate (or 90% of my average weekly earnings if lower) in accordance with the Statutory Shared Parental Pay (General) Regulations 2014.

Declaration of Eligibility

8. I confirm that I satisfy the continuity of employment and earnings conditions for SPL and ShPP, that I share, or expect to share, the main responsibility for the care of the child with the other parent, and that the other parent satisfies the employment and earnings test. The details of the other parent are: name ________; National Insurance number ________; employer ________.

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10. I acknowledge that this period of leave counts as 1 of my 3 permitted notices to book or vary SPL under the Shared Parental Leave Regulations 2014, and that I now have ________ remaining. Should you require any further information or documentation in order to process this request, please do not hesitate to contact me and I shall provide it as soon as reasonably practicable.

Yours faithfully,

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