Application for Maternity Leave
1. Application for Maternity Leave
Page 1 of 4
Please ensure that you have submitted your Mat B1 form along with this application for it to be processed. (NOTE:- THIS APPLICATION DOES NOT CONFER ANY RIGHT TO PARTICULAR BENEFITS. YOUR ENTITLEMENTS WILL BE CHECKED AND SUBSEQUENTLY CONFIRMED TO YOU IN WRITING AS SOON AS POSSIBLE.)
This question requires an answer
This question requires an answer
This question requires an answer
The answer is in an invalid format.
3. Employment start date with Simply Safe Care Group Ltd *
This question requires an answer
The answer is in an invalid format.
4. My expected date of the birth of my child is *
The answer is in an invalid format.
5. I confirm that I intend to return to work following my Maternity Leave, and (for those with 12 months minimum service) that I undertake to return to employment for a minimum of 3 months.
I intend to commence Maternity leave on
6. Do you have and holiday entitlement if so will you be looking to take any holidays before or after you maternity leave. please give dates.
This question requires an answer
7. My Mat B1 one for signed by a midwife or medical practitioner *