THE UNIVERSITY OF NOTTINGHAM Application for Ordinary Parental Leave (Confidential) TO: FROM: Employment Support Services Human Resources Department Name: ……………………………………………………………………….. King’s Meadow Campus Payroll No: …………………………………………….………………… School/Department: ………………………………………………… Date: Will you please accept this notification as my application for parental leave. I wish to take parental from……………………… (start date) to ………………… (finish date). please complete the relevant section: Date of birth of the child(ren) - The date of birth of my child(ren) is …………………………………………….. (insert date(s) of birth) The date of the adoption placement is due to begin on (insert date) …………………………………… The date I obtained legal responsibility for my child(ren) was (insert date) ……………………….. Evidence of my parental responsibility: I enclose a copy of the following document(s) as evidence of my parental responsibility: Birth certificate (on which the applicant is named as one of the parents) □ Letter from the adoption agency confirming anticipated date of the adoption placement □ □ Papers confirming my child(ren)s adoption Maternity certificate (MAT B1) or similar medical evidence confirming the expected date of childbirth □ (i.e. MATB2) Papers confirming my child(ren) receives disability living allowance □ Papers confirming I have acquired legal parental responsibility under the Children Act 1989 (or □ under similar relevant legislation) Other (please insert details) □ ……………………………………………………………………………………............. Tick or delete the following as appropriate □ I am not a member of any pension scheme
THE UNIVERSITY OF NOTTINGHAM Application for Ordinary Parental Leave (Confidential) TO: FROM: Employment Support Services Human Resources Department Name: ……………………………………………………………………….. King’s Meadow Campus Payroll No: …………………………………………….………………… School/Department: ………………………………………………… Date: Will you please accept this notification as my application for parental leave. I wish to take parental from……………………… (start date) to ………………… (finish date). Date of birth of the child(ren) - please complete the relevant section: The date of birth of my child(ren) is …………………………………………….. (insert date(s) of birth) The date of the adoption placement is due to begin on …………………………………… (insert date) The date I obtained legal responsibility for my child(ren) was ……………………….. (insert date) Evidence of my parental responsibility: I enclose a copy of the following document(s) as evidence of my parental responsibility: □ Birth certificate (on which the applicant is named as one of the parents) □ Letter from the adoption agency confirming anticipated date of the adoption placement □ Papers confirming my child(ren)s adoption □ Maternity certificate (MAT B1) or similar medical evidence confirming the expected date of childbirth (i.e. MATB2) □ Papers confirming my child(ren) receives disability living allowance □ Papers confirming I have acquired legal parental responsibility under the Children Act 1989 (or under similar relevant legislation) □ Other (please insert details) ……………………………………………………………………………………............. Tick or delete the following as appropriate □ I am not a member of any pension scheme