[{"id":"9443c1b0-f1ef-4da2-97bc-7d9d89820159","order":1,"text":"MATERNITY LEAVE: NOTICE AND CONFIRMATION","fontSize":"20","textAlign":"center","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"11f37d31-0108-43a7-9fe0-cd9afbba4d73","order":2,"text":"Statutory Maternity Leave and Statutory Maternity Pay","fontSize":"16","textAlign":"center","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"fa2f8ad7-30ae-4cdc-89d1-b77b259cacf6","order":3,"text":"(Maternity and Parental Leave etc. Regulations 1999; Social Security Contributions and Benefits Act 1992; Statutory Maternity Pay (General) Regulations 1986)","fontSize":"11","textAlign":"center","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"2c80f137-94d1-4660-827b-ceb46973fe23","order":4,"text":"PARTIES","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"marginTop":"6"},{"id":"ef5cb299-cfd6-42a7-9521-d14e1ab7befb","order":5,"text":"This notice and confirmation is made between:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"cf21b17b-e3b0-4be8-b022-f7aa56a5127a","order":6,"text":"(1) [Employee full name], of [Employee home address] ([Job title]), employee (the \"Employee\"); and","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"9064d578-f963-4835-9675-3e3b25181c8d","order":7,"text":"(2) [Employer / company name], of [Employer registered or trading address], acting by [Name of authorised signatory] ([Title of signatory]) (the \"Employer\").","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"47db3db4-7f39-4e9a-ace7-f78ad3dde73d","order":8,"text":"The Employee's payroll / staff reference is [Payroll or staff reference number]. The Employee's continuous employment with the Employer began on [Date employment began].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"9b2b3f2e-2b64-48b5-9934-1aa1e4ffe33f","order":9,"text":"RECITALS","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"marginTop":"6"},{"id":"f7b89235-bf3e-4244-87eb-96443ac8c6cc","order":10,"text":"A. The Employee is pregnant and wishes to take statutory maternity leave and, where applicable, to receive statutory maternity pay.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"ef7615e1-3b48-48d3-ba31-1f0286694b0e","order":11,"text":"B. The Employee gives this written notice in order to comply with the notification requirements of the Maternity and Parental Leave etc. Regulations 1999 and, where statutory maternity pay applies, the Statutory Maternity Pay (General) Regulations 1986.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"f6d3a5bf-71ff-4eb4-afb4-ad47d84b3eb6","order":12,"text":"C. The purpose of this document is to record, in writing and for the avoidance of doubt, the expected week of childbirth, the intended start date of maternity leave, the date from which statutory maternity pay is to commence, and the Employer's written confirmation of the leave dates for payroll, handover and planning purposes.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"dd111779-aead-4804-b256-c2c28a147a5f","order":13,"text":"D. Nothing in this document varies the Employee's statutory rights, which take effect in accordance with the legislation regardless of the terms recorded here.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"2b5f3699-f34e-4da7-b2b1-deaccad56eeb","order":14,"text":"PART 1 — NOTICE GIVEN BY THE EMPLOYEE","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10"},{"id":"c471d3fe-c02f-4e0a-818d-0f50bef636c9","order":15,"text":"1. Notification of pregnancy and expected week of childbirth","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"0","cflou":false,"active":true,"sectionNum":"S01"},{"id":"395ae0d6-ec43-4c27-a7aa-3ccbd329cf1b","order":16,"text":"The Employee notifies the Employer that she is pregnant. The expected date of childbirth, as confirmed by the registered midwife or doctor on the form MATB1, is [Expected date of childbirth]. The expected week of childbirth (the \"EWC\"), being the week beginning on the Sunday in which that date falls, commences on [First day (Sunday) of the EWC].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"2d9351c2-ce7f-4bda-9d30-349e988cfc01","order":17,"text":"This notice is given on or before the end of the fifteenth week before the EWC, in accordance with regulation 4 of the Maternity and Parental Leave etc. Regulations 1999. Where it was not reasonably practicable to give notice by that date, the Employee has given it as soon as was reasonably practicable.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"7d9861f1-751f-4eb6-ba59-99ca429448d9","order":18,"text":"2. Medical evidence (form MATB1)","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S02"},{"id":"53aa0c75-2e4e-4889-9997-dba6bc223f9a","order":19,"text":"The Employee encloses the original maternity certificate (form MATB1) issued by her registered midwife or doctor, confirming the expected date of childbirth. The MATB1 is dated [Date on the MATB1 certificate] and was issued by [Name of midwife / doctor or practice]. The MATB1 is provided as proof of pregnancy for the purposes of statutory maternity pay and is to be returned to the Employee on request.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"fee841ab-e0d5-47c4-8189-be85beb2edfd","order":20,"text":"3. Intended start date of maternity leave","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S03"},{"id":"94bccf5d-cc86-4893-93aa-a18c6b40d9c1","order":21,"text":"The Employee intends her statutory maternity leave to begin on [Intended maternity leave start date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"3561198e-3d3d-4d8a-8058-97467fef94c2","order":22,"text":"The Employee understands that statutory maternity leave may not begin earlier than the eleventh week before the EWC, and that, irrespective of the intended date, leave will start automatically on the day after childbirth if the baby is born before that date, or on the first day of absence where she is absent for a pregnancy-related reason after the beginning of the fourth week before the EWC.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"072a3a48-3b22-4ba9-b438-6574c208fadd","order":23,"text":"The Employee may change the intended start date by giving the Employer not less than twenty-eight days' written notice of the new date, or as much notice as is reasonably practicable where that is not possible.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"7df3426a-d95a-4447-b7e4-e6be2e667708","order":24,"text":"4. Duration of leave and expected return","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S04"},{"id":"f12f8f75-9617-4c91-a641-295212b5f861","order":25,"text":"The Employee is entitled to fifty-two weeks' statutory maternity leave, comprising twenty-six weeks' ordinary maternity leave followed by twenty-six weeks' additional maternity leave. Unless the Employee notifies the Employer otherwise, she intends to take [Number of weeks of leave the Employee intends to take] weeks of leave.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"dbebbc1d-7fc0-4373-9925-1881163c1b16","order":26,"text":"On that basis, the Employee's expected date of return to work is [Expected date of return to work], subject to any change of return date notified in accordance with this document and the law.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"29fcca45-d2af-43cf-97cb-bbcf218153e2","order":27,"text":"5. Statutory maternity pay","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S05"},{"id":"3060d8bb-a332-423b-a465-e9cac1c337ab","order":28,"text":"The Employee gives notice that she wishes statutory maternity pay (\"SMP\") to commence on [Date SMP is to start]. This notice is given not less than twenty-eight days before that date, or as soon as was reasonably practicable. The Employee confirms that, to the best of her knowledge, she satisfies the qualifying conditions for SMP, namely at least twenty-six weeks' continuous employment with the Employer ending with the qualifying week (the fifteenth week before the EWC) and average weekly earnings at or above the lower earnings limit.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"ee7702a5-e0bc-4e9c-9f8a-bbc1acda9fef","value":"Non","type":"remove","operator":"="}]},{"id":"ecc4042b-449a-4908-8fa8-282c86fb87ae","order":29,"text":"SMP is payable for up to thirty-nine weeks: the first six weeks at ninety per cent of the Employee's average weekly earnings, and the remaining thirty-three weeks at the prescribed weekly rate or ninety per cent of average weekly earnings, whichever is lower. SMP will be paid through the payroll on the Employee's normal pay dates, subject to deduction of income tax and National Insurance contributions.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"ee7702a5-e0bc-4e9c-9f8a-bbc1acda9fef","value":"Non","type":"remove","operator":"="}]},{"id":"49da0630-a309-4b42-9358-ec47ba13fa89","order":30,"text":"Where the Employee does not qualify for SMP, the Employer will provide the Employee with form SMP1 setting out the reasons, so that the Employee may claim Maternity Allowance from the Department for Work and Pensions.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"ee7702a5-e0bc-4e9c-9f8a-bbc1acda9fef","value":"Non","type":"remove","operator":"="}]},{"id":"985e56de-c7b9-432d-8ab8-7174f8af80d4","order":31,"text":"The Employee does not seek statutory maternity pay from the Employer under this notice. The Employer will, where required, issue form SMP1 to enable the Employee to claim Maternity Allowance from the Department for Work and Pensions.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"ee7702a5-e0bc-4e9c-9f8a-bbc1acda9fef","value":"Oui","type":"remove","operator":"="}]},{"id":"41cb0f04-b19c-4c22-9918-5afacfe68cb8","order":32,"text":"6. Contractual (enhanced) maternity pay","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S06","displayConditions":[{"field":"9ea6ca75-558f-4f5d-a11d-89679b95ba64","value":"Non","type":"remove","operator":"="}]},{"id":"66298324-9077-42a8-9f74-e649a9c21326","order":33,"text":"In addition to any statutory maternity pay, the Employee is entitled under her contract of employment or the Employer's maternity policy to enhanced maternity pay on the following terms: [Enhanced maternity pay terms (e.g. full pay for the first 12 weeks)]. Enhanced maternity pay is inclusive of, and not in addition to, any statutory maternity pay payable for the same period.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"9ea6ca75-558f-4f5d-a11d-89679b95ba64","value":"Non","type":"remove","operator":"="}]},{"id":"0cc677ff-73ee-4485-9bf6-97914986758b","order":34,"text":"7. Annual leave","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S07"},{"id":"eb7387db-41aa-49b4-8b42-e2e624895222","order":35,"text":"The Employee continues to accrue contractual and statutory annual leave throughout the whole period of maternity leave. Accrued but untaken annual leave may be taken before maternity leave begins or after it ends, as agreed with the Employer, and may not be carried over beyond the limits permitted by the Employer's policy and the Working Time Regulations 1998.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"12ddc6db-19c6-45b9-87a7-0bf57a5ffaa9","order":36,"text":"8. Keeping in touch","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S08"},{"id":"3c05d440-cb04-4cb9-98c8-385d71e91891","order":37,"text":"By agreement between the parties, the Employee may carry out up to ten days' work during her maternity leave (\"keeping-in-touch days\") without bringing her leave to an end or affecting her statutory maternity pay. Such days are entirely optional; neither party is obliged to offer or to accept them. The Employer may make reasonable contact with the Employee during maternity leave to discuss her return and any matters affecting her role. The Employee's preferred contact method during leave is [Preferred contact method and details during leave].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"054a7dc7-4fc0-44f0-b525-ea34c1802e19","order":38,"text":"PART 2 — CONFIRMATION GIVEN BY THE EMPLOYER","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10"},{"id":"53c5efb7-c66a-4120-8ee4-0b92f3dc2d26","order":39,"text":"9. Confirmation of leave dates","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S09"},{"id":"237afc51-94ee-480a-868f-fcd39273f816","order":40,"text":"Within twenty-eight days of receiving the Employee's notice, and in accordance with regulation 7(6) and (7) of the Maternity and Parental Leave etc. Regulations 1999, the Employer confirms the following dates:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"ef80daa7-a575-4499-8abb-525f4d208029","order":41,"text":"Maternity leave start date: [Confirmed leave start date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"daeffee4-2e4c-4bb8-a71b-addeecdd6460","order":42,"text":"Maternity leave end date (last day of statutory maternity leave): [Confirmed leave end date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"a03fcfd0-ecb8-44b4-b5f3-a33698bf97e7","order":43,"text":"Expected date of return to work: [Confirmed expected return date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"f6b456f1-c85e-4a03-8bf0-33fb0f9d1039","order":44,"text":"The Employer has assumed that the Employee will take her full fifty-two weeks' entitlement unless and until the Employee notifies the Employer otherwise. If the Employee subsequently changes her leave start date, the Employer will confirm the revised end date within twenty-eight days of the start of the leave.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"c61a4980-60b3-41bf-b00f-98a91a8a503f","order":45,"text":"10. Confirmation of pay","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S10"},{"id":"048297e9-8e91-417c-b995-1f5d5eac3e73","order":46,"text":"The Employer confirms that statutory maternity pay will commence on [Confirmed SMP start date] and will be paid for the periods and at the rates set out in the section headed “Statutory maternity pay” above, through the payroll and subject to the usual deductions.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"ee7702a5-e0bc-4e9c-9f8a-bbc1acda9fef","value":"Non","type":"remove","operator":"="}]},{"id":"b71104b9-0cd7-4f70-8ceb-7458c7cb057a","order":47,"text":"The Employer confirms that the Employee does not qualify for, or has not requested, statutory maternity pay from the Employer, and that form SMP1 will be issued where required to enable a claim for Maternity Allowance.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"ee7702a5-e0bc-4e9c-9f8a-bbc1acda9fef","value":"Oui","type":"remove","operator":"="}]},{"id":"86bc530c-48b9-4449-ac9e-fa93297a735f","order":48,"text":"Where enhanced maternity pay applies, it will be paid on the terms recorded in the section headed “Contractual (enhanced) maternity pay” above.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"9ea6ca75-558f-4f5d-a11d-89679b95ba64","value":"Non","type":"remove","operator":"="}]},{"id":"321bb2ad-c67b-4605-9d8b-ac35e632574c","order":49,"text":"11. Health and safety","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S11"},{"id":"da93cf35-c959-428c-9869-e3ab66a48b3c","order":50,"text":"The Employer will carry out and keep under review a risk assessment of the Employee's working conditions. Where a risk to the health or safety of the Employee or her child cannot be avoided, the Employer will, in this order, temporarily adjust her working conditions or hours, offer suitable alternative work on no less favourable terms, or suspend her from work on full pay for as long as is necessary to protect her safety.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"f94a7215-d8ef-437d-85a3-80114310e597","order":51,"text":"12. Right to return and protection from detriment","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S12"},{"id":"3df6a671-2a4c-45a4-a56b-81791d51c7e8","order":52,"text":"The Employee has the right to return to the same job on the same terms following ordinary maternity leave and, following additional maternity leave, to the same job or, where that is not reasonably practicable, to a suitable and appropriate alternative job on terms no less favourable. The Employee's continuity of employment and contractual benefits (other than remuneration) are preserved throughout maternity leave. The Employee is protected from detriment and from dismissal on grounds connected with pregnancy or maternity; any such dismissal is automatically unfair and constitutes unlawful discrimination under the Equality Act 2010.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"95d2bfac-f5cf-4d73-8d88-3f089127c308","order":53,"text":"13. Early or late birth","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S13"},{"id":"16cde32e-b72c-47cb-9f46-0cc30d5638bd","order":54,"text":"If the child is born before the intended start of maternity leave, leave will begin on the day after the birth and the Employee will notify the Employer of the date of birth as soon as reasonably practicable. If the child is born after the EWC, the maternity leave dates confirmed above are adjusted accordingly in line with the legislation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"f24986bf-5312-4a61-a449-98c737dd9f01","order":55,"text":"14. Notices","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S14"},{"id":"19fb0136-28f2-4d6d-a18b-bd45d48f5809","order":56,"text":"Any notice under this document must be given in writing and delivered by hand, post or email to the addresses of the parties set out above (or to such other address as a party notifies). A notice sent by email is treated as received on the next working day after sending.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"0aa59c73-ab57-46b4-8092-69c99b732689","order":57,"text":"15. Status, entire agreement and governing law","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","marginTop":"10","cflou":false,"active":true,"sectionNum":"S15"},{"id":"1de2637e-3e17-472f-8a0f-44e58e27ac16","order":58,"text":"This document records the statutory notices and confirmations exchanged between the parties and does not vary the Employee's contract of employment except where it expressly records an enhanced contractual entitlement. It constitutes the entire record of the parties' understanding as to the dates and arrangements set out in it. No failure or delay by either party in exercising a right is a waiver of that right. If any provision is or becomes invalid, the remaining provisions continue in force.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"58c6632c-b0d4-4901-9e57-5931bcfa576f","order":59,"text":"This document and any dispute arising out of it are governed by the laws of England and Wales, and the parties submit to the jurisdiction of the Employment Tribunal and the courts of England and Wales. The parties will first seek to resolve any dispute amicably, including, where appropriate, through early conciliation provided by Acas.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"9c7d4fb4-c744-4a6f-89dd-38474f2a68ab","order":60,"text":"SIGNATURES","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10"},{"id":"09598087-f278-45ff-8b26-78b117e41eda","order":61,"text":"Signed by the Employee:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"ecf5a4da-beb8-464f-aac5-b6e5f9fc9e57","order":62,"text":"[Employee full name] — Date: [Date of signature by Employee]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"f6288496-59ba-4e0f-a983-03f288625c6c","order":63,"text":"Signature: ______________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"2b5366e8-2ddf-405e-9364-ae789880a85a","order":64,"text":"Signed for and on behalf of the Employer:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"9279be51-64a9-4415-847d-7c56c3e6ab37","order":65,"text":"[Name of authorised signatory] — Date: [Date of signature by Employer]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"c83de359-309a-4ea0-867c-c006249c9c4f","order":66,"text":"Signature: ______________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"e0d34f9e-dc69-4fd6-ab6a-d1aad3aab04c","order":67,"text":"SCHEDULE — ENCLOSURES","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"marginTop":"10"},{"id":"a6697f52-2a5f-4d9a-b1d8-b08498977b67","order":68,"text":"(a) Form MATB1 (maternity certificate).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"04782433-08c4-448e-b3b3-13d365b02894","order":69,"text":"(b) Copy of the Employer's maternity policy, where applicable.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"017696f6-ba49-45d1-b40c-f30e0156c69b","order":70,"text":"Done at [Place of signature], on [Date of the document], in two original counterparts, one for each party.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true}]