[{"id":"76485fdc-5147-43d5-8ffc-071162a4c3c6","order":1,"text":"STATUTORY PATERNITY LEAVE REQUEST","fontSize":"20","textAlign":"center","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"9d576d10-7063-414c-8e35-f07ac10d0c98","order":2,"text":"Notice of intention to take paternity leave and confirmation of agreed dates","fontSize":"12","textAlign":"center","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"d4946fc7-370d-45c8-a5ce-4b7420adf7b9","order":3,"text":"[Employer contact name]
[Employer / Company name]
[Employer address]
[Town and postcode]","fontSize":"14","textAlign":"right-align","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"18d85069-4ea1-4a24-a614-fe4c7a6f6c77","order":4,"text":"From: [Your full name], [Your job title]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"7e5352b6-0975-4381-a2e1-dafcd710f2cf","order":5,"text":"[Your address], [Town and postcode]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"140e9b9c-aa21-4964-87e6-8d93990a9cf0","order":6,"text":"Date: [Date of this notice]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"6c7a6a83-5fa6-496e-9ade-f2531c05c143","order":7,"text":"Dear [Employer contact name],","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"a766bc98-bdd4-4fdd-a8df-6f0cf95367e3","order":8,"text":"Re: Notice of intention to take statutory paternity leave","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"a63eeaea-d447-411e-9a3f-ca9080cace31","order":9,"text":"I am writing to give you formal notice, in accordance with the Paternity and Adoption Leave Regulations 2002 (as amended) and the Employment Rights Act 2025, of my intention to take statutory paternity leave in connection with the child identified below. This notice sets out my eligibility, the date of the relevant event, the leave I intend to take and the basis on which I qualify, and invites you to confirm the agreed dates in writing.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"560286af-9716-423a-9387-990eb6f6cbd6","order":10,"text":"1. Employee and child","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","marginTop":"10","cflou":false,"active":true,"sectionNum":"S01"},{"id":"f0e2e32a-f9ae-41a1-883f-bc8d5cc6f3d9","order":11,"text":"My name is [Your full name] and I am employed by [Employer / Company name] in the role of [Your job title].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"03f0f9fe-b60f-4320-ab75-a69346eaa4ac","order":12,"text":"I confirm that I am the [Relationship to the child] of the child and that I have, or expect to have, responsibility for the child's upbringing. I am taking this leave to care for the child or to support the child's mother or the child's other adopter in caring for the child.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"857b57a5-137a-4745-8489-153832413fd0","order":13,"text":"This notice relates to the birth of a child.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"389a16da-0be7-420c-b54c-855b477fdf72","value":"adoption","type":"remove","operator":"="}]},{"id":"1df56e64-d023-44e1-b972-e49604b243bd","order":14,"text":"The child is expected to be born during the week beginning [Sunday of the expected week of childbirth] (the expected week of childbirth).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"389a16da-0be7-420c-b54c-855b477fdf72","value":"adoption","type":"remove","operator":"="},{"field":"827a9432-25d4-4a18-a9b6-543ed41ca5f6","value":"born","type":"remove","operator":"="}]},{"id":"ab537ad4-d96d-4666-a30f-45aa69fcf457","order":15,"text":"The child has already been born. The actual date of birth is [Actual date of birth].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"389a16da-0be7-420c-b54c-855b477fdf72","value":"adoption","type":"remove","operator":"="},{"field":"827a9432-25d4-4a18-a9b6-543ed41ca5f6","value":"expected","type":"remove","operator":"="}]},{"id":"f7cb8de9-3f6e-4872-806c-2741fb11037f","order":16,"text":"This notice relates to the placement of a child for adoption.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"389a16da-0be7-420c-b54c-855b477fdf72","value":"adoption","type":"add","operator":"="}]},{"id":"1f67c073-5200-4506-9e5a-6d4a6639d8a0","order":17,"text":"I was notified that I had been matched with the child on [Date matched with the child], and the child is expected to be, or was, placed with me for adoption on [Expected or actual date of placement].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"389a16da-0be7-420c-b54c-855b477fdf72","value":"adoption","type":"add","operator":"="}]},{"id":"dfc5357d-98f6-40ba-88ad-c2e04c5edfd4","order":18,"text":"The child's reference (where applicable): [Child reference].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"389a16da-0be7-420c-b54c-855b477fdf72","value":"adoption","type":"add","operator":"="}]},{"id":"193277af-0272-4a8c-bddc-902f7b9bce25","order":19,"text":"2. Eligibility and notice","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","marginTop":"10","cflou":false,"active":true,"sectionNum":"S02"},{"id":"7397a434-0242-4b85-83e3-fde78c8ad688","order":20,"text":"Since 6 April 2026, the right to take paternity leave is a day-one right. There is no longer any minimum period of continuous service required to take the leave itself. I confirm that I meet the qualifying conditions for statutory paternity leave, namely that I have the relationship to the child declared above, that I have or will have responsibility for the child's upbringing, and that I am giving this notice in accordance with the applicable notice requirements.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"ff00b235-8931-4939-8224-6cf3b466eb47","order":21,"text":"As my child is due, or was placed, before 26 July 2026, I am relying on the transitional notice arrangements. I confirm that I am giving you at least 28 days' notice before the date on which I intend my leave to begin, and that this leave will begin on or after 6 April 2026.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"f7b09629-270b-4479-a26a-6f55d8fa7276","value":"transitional","type":"add","operator":"="}]},{"id":"b59b94bb-e353-4c4a-8438-962f4aaed0b3","order":22,"text":"I confirm that I am giving you this notice no later than the end of the fifteenth week before the expected week of childbirth (or, in the case of adoption, within seven days of being notified of the match), and that I am giving you at least 28 days' notice before the date on which I intend each period of leave to begin.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"f7b09629-270b-4479-a26a-6f55d8fa7276","value":"standard","type":"add","operator":"="}]},{"id":"113231e6-c32a-4e11-bc11-9176d9d6b85d","order":23,"text":"3. Leave requested","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","marginTop":"10","cflou":false,"active":true,"sectionNum":"S03"},{"id":"1f179602-c48b-48cd-9cde-680411b86b28","order":24,"text":"My statutory entitlement is to up to two weeks of paternity leave, which may be taken as a single block of one or two weeks, or as two separate periods of one week each. All paternity leave must be taken within 52 weeks of the child's birth or placement for adoption.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"5e862635-b5a4-4c77-b407-b1f5477220b0","order":25,"text":"I intend to take my paternity leave as a single block of [One or two weeks].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"6f12f181-cc19-4444-a13f-c86109c06b10","value":"two","type":"remove","operator":"="}]},{"id":"f1dcebcc-1eb9-4e2b-b896-036c96d83d36","order":26,"text":"This period of leave will begin on [Leave start date] and end on [Leave end date] (inclusive).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"6f12f181-cc19-4444-a13f-c86109c06b10","value":"two","type":"remove","operator":"="}]},{"id":"f5af393a-512d-41e0-88a5-14060abf97c0","order":27,"text":"I intend to take my paternity leave as two separate periods of one week each, as follows.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"6f12f181-cc19-4444-a13f-c86109c06b10","value":"two","type":"add","operator":"="}]},{"id":"e251bdd0-f9b0-4d56-a875-84c074f68f2a","order":28,"text":"First week: from [First week start date] to [First week end date] (inclusive).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"6f12f181-cc19-4444-a13f-c86109c06b10","value":"two","type":"add","operator":"="}]},{"id":"7cafdd8e-f775-4d1a-ba10-ed88a17c9994","order":29,"text":"Second week: from [Second week start date] to [Second week end date] (inclusive).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"6f12f181-cc19-4444-a13f-c86109c06b10","value":"two","type":"add","operator":"="}]},{"id":"c7472a3c-3b3a-40e4-ab0e-e40f3f283e4e","order":30,"text":"Should the date of the relevant event change, I understand that the leave dates may need to be adjusted, and I will give you revised notice as soon as is reasonably practicable.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"c2fac168-ea10-4ed2-aae9-df1ca5ddea5d","order":31,"text":"4. Statutory paternity pay","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","marginTop":"10","cflou":false,"active":true,"sectionNum":"S04"},{"id":"b3816cff-ebbe-42fa-b00f-d1eba03fc515","order":32,"text":"I understand that entitlement to statutory paternity pay is separate from the right to take paternity leave, and that the qualifying conditions for pay (including the requirement of at least 26 weeks' continuous service by the relevant qualifying week, and average weekly earnings at or above the lower earnings limit) have not changed.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"acd98d41-1de0-48a7-9c77-6fcd8184ca98","order":33,"text":"I believe that I satisfy the qualifying conditions for statutory paternity pay and request that statutory paternity pay be paid to me for the period of leave set out above, at the lower of the prescribed weekly rate or 90% of my average weekly earnings, through payroll in the usual way.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"95b9c0a3-fa97-4f2a-b4f5-e9fe83462e38","value":"yes","type":"add","operator":"="}]},{"id":"eac916f8-f68d-4c4e-a86e-92feb9503374","order":34,"text":"I understand that I may not satisfy the qualifying conditions for statutory paternity pay. I ask that you confirm my pay position during this leave, and I understand that you will provide form SPP1 if statutory paternity pay cannot be paid.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"95b9c0a3-fa97-4f2a-b4f5-e9fe83462e38","value":"no","type":"add","operator":"="}]},{"id":"46fc0776-02a2-492f-a7c5-68f3ed520907","order":35,"text":"5. Declaration","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","marginTop":"10","cflou":false,"active":true,"sectionNum":"S05"},{"id":"5887b70d-a686-4698-8c0a-948ab25f513e","order":36,"text":"I declare that the information given in this notice is true and complete to the best of my knowledge and belief. I will inform you promptly of any change to the circumstances set out above, in particular any change to the date of the relevant event or to the dates of leave requested.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"a88bb4df-2e59-4f25-8e82-4661e41ba336","order":37,"text":"Yours sincerely,","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"692ccb93-4547-4c19-b468-5fc0f7a08d74","order":38,"text":"[Your full name]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"93e41f93-9db3-441b-8dd4-cd9a3bfe656c","order":39,"text":"Employee","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"170f850d-f7d4-438b-b290-c8b69cddf252","order":40,"text":"6. Employer confirmation","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","marginTop":"10","cflou":false,"active":true,"sectionNum":"S06"},{"id":"471d6e72-d657-4ed1-8a49-f397ade769fe","order":41,"text":"To be completed and returned by the employer to confirm the agreed paternity leave dates for payroll, handover and planning purposes.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"ba0e4c1a-22fa-4c9e-9e10-e168c93a9af6","order":42,"text":"[Employer / Company name] confirms receipt of the above notice from [Your full name] and agrees that paternity leave will be taken from [Agreed start date] to [Agreed end date] (inclusive), subject to any change in the date of the relevant event.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"1b82cfc7-8545-45ec-a192-207697cba200","order":43,"text":"Signed (for and on behalf of the employer): [Name of employer signatory]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"aebc34e0-5f64-4d63-a035-ada263d0330d","order":44,"text":"Position: ______________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"f0192e99-0cee-465c-afb2-9eea66973d93","order":45,"text":"Date: ______________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true}]