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Leave Request

Dependants Leave Form UK | s.57A ERA 1996 Compliant

Log emergency dependants leave under s.57A ERA 1996. Record dates, reason and decision in writing. Editable Word & PDF, day-one right covered.
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A Time Off for Dependants Request / Record Form is the document a UK employer uses to log a short, usually unpaid period of emergency leave taken by an employee to deal with an unexpected problem affecting a dependant. It captures who was off, the dates, the reason in broad terms, and the decision, so the absence is recorded consistently rather than agreed informally and forgotten by payroll week. This form is built for line managers and HR in small and mid-sized businesses who need to handle a sick child, a collapsed care arrangement, or a family emergency without the conversation turning into a dispute three months later. It works alongside your wider time off for dependants policy and gives both sides written confirmation of approved dates.

Time off for dependants is a statutory right under the Employment Rights Act 1996, but it is one of the most misunderstood entitlements in UK employment. Most managers treat it as goodwill; the law treats it as a protected entitlement with real limits. This form sits exactly in that gap, giving you a clean record without overreaching into territory the statute never intended.

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Dependants Leave Form UK | s.57A ERA 1996 Compliant

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What is a time off for dependants form?

A time off for dependants form is a short administrative record, not a contract. It documents that an employee took emergency leave under section 57A of the Employment Rights Act 1996 to deal with an unexpected situation involving a dependant, and it confirms the dates and the employer's decision in writing. The point of the form is evidential. When the absence later affects pay, the Bradford Factor, or a capability conversation, you can show the request was made, the reason was logged, and a decision was communicated, rather than relying on someone's memory of a corridor chat.

It is worth separating this from neighbouring documents, because they are routinely confused. Time off for dependants is short, reactive, and almost always unpaid unless your contract says otherwise. It is not parental leave, which is a planned block of unpaid leave for a child's upbringing, and it is not compassionate or bereavement leave, which most contracts treat as a separate discretionary or contractual entitlement. It is also distinct from ordinary sickness absence, where the employee themselves is unwell. A dependant, for these purposes, means a spouse, partner, child, parent, or someone who reasonably relies on the employee for care. The right covers necessary action in an emergency, not ongoing caring duties. An employee cannot use section 57A to nurse a relative through a fortnight's illness; they can use it to deal with the first day of the crisis and to arrange longer-term cover. Capturing that distinction on the form protects you when an employee tries to stretch a one-day entitlement into a week. For longer planned absences, your business is better served by the structured forms in our UK leave request templates for annual, parental and sick leave.

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When do you need this document?

The classic trigger is the early morning phone call : a child has woken up with a fever and cannot go to nursery, the usual childminder has fallen through, and the employee needs the morning to sort out cover. That single day is the textbook section 57A scenario, and you want it logged the moment it happens rather than reconstructed weeks later. A second common situation is a sudden disruption to an established care arrangement, where an elderly parent's carer does not show up, or a residential placement calls the family in. The right does not depend on the dependant living with the employee, which is why your form asks for the relationship rather than the address.

Bereavement and serious injury form another cluster. When a dependant dies, the employee is entitled to reasonable time to deal with the immediate consequences, arrange a funeral, and notify others, separate from any statutory parental bereavement leave that applies to the loss of a child. Schools generate their own category : an unexpected exclusion, an accident on a trip, or an incident the parent must attend to during the school day all qualify. The trap most employers fall into is treating recurring problems as fresh emergencies. If the same childcare gap appears every Wednesday, that is no longer unexpected, and you are entitled to ask the employee to use annual leave or unpaid parental leave instead. An edge case worth flagging is the employee on a short fixed engagement or maternity cover : the day-one right still applies in full, so a UK fixed-term employment contract template for maternity cover and projects does not dilute the entitlement, and the form should be used for them on exactly the same terms.

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Key clauses included in our template

  • The employee and dependant identification block records the employee's name and role and, critically, the relationship to the dependant rather than naming the dependant or asking for sensitive detail. The statute protects spouses, partners, children, parents, and anyone reasonably relying on the employee for care, so the field is drafted to capture eligibility without straying into intrusive territory you have no lawful basis to collect.
  • The statement of reason and category lets the employee tick the qualifying ground (illness, breakdown of care, bereavement, school incident) using language drawn straight from section 57A. This keeps the record consistent with the statutory test and makes it obvious later whether the absence genuinely fell within the right or should have been booked as something else.
  • The dates and duration field captures the start, the expected return, and the actual return separately, because the gap between expected and actual is exactly what Qua v John Ford Morrison tells you to scrutinise. A one-day expectation that turned into four days is a flag worth a conversation, and the form makes it visible.
  • The paid or unpaid designation states plainly whether the time is unpaid (the statutory default) or paid under a contractual or discretionary arrangement, so payroll processes the absence correctly and the employee is not misled about pay.
  • The manager decision and confirmation section records approval, the dates agreed, and any condition, then gives a clean signature and date line for both parties. This is the part that ends the "we agreed it in the corridor" argument, because it produces written confirmation suitable for payroll, handovers, and forward planning.
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Regional considerations

Time off for dependants under section 57A of the Employment Rights Act 1996 applies uniformly across England, Wales, and Scotland, so the core entitlement does not change as you move around Great Britain. The differences sit in the surrounding statutory landscape rather than the dependants right itself, and a well-run business records them on the same form for consistency.

Northern Ireland runs on a parallel but separate statute. The equivalent right sits in the Employment Rights (Northern Ireland) Order 1996, specifically Article 85A, which mirrors the Great Britain provision almost word for word. The practical drafting is identical, but a business operating across the Irish Sea should cite the correct instrument on its internal policy to avoid the appearance of applying English law where it does not formally reach. The substance an employee can claim is the same reasonable, unpaid emergency leave.

Scotland shares the Employment Rights Act 1996 for employment purposes, since employment law is reserved to Westminster, so the dependants right is genuinely common across the border. Where Scotland diverges is in adjacent areas such as the definition of certain family relationships under devolved family law, which can occasionally affect who counts as a dependant in unusual cases. For day-to-day administration this rarely bites, and the form's relationship field is broad enough to absorb it. The cleaner risk to manage everywhere is the overlap with statutory parental bereavement leave under the Parental Bereavement (Leave and Pay) Act 2018, which gives two weeks' leave on the death of a child under 18 and should never be quietly collapsed into a one-day dependants entry. Recording the correct category protects the employee's separate entitlement and your audit trail at the same time.

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How to fill out this time off for dependants form

You start by entering the employee's name, role, and the date the request or notification was made, then select the qualifying ground from the statutory list so the record is anchored to section 57A from the outset. From there, the form asks for the relationship to the dependant rather than personal details about them, which keeps your data collection proportionate and avoids holding information you have no reason to keep. Next, you log the expected duration as the employee reported it at the time, because that figure is what you will measure the actual absence against if the leave runs longer than a genuine emergency would justify.

Once the employee returns, you complete the actual return date and confirm whether the time was treated as unpaid or paid, so payroll has an unambiguous instruction. The manager then records the decision, notes any condition (for example, a request that recurring care gaps be booked as annual leave in future), and both parties sign and date. The finished form downloads in editable Word and clean PDF, so you can keep a signed copy on the personnel file and reuse the template across the business. If a single emergency turns into a planned absence, you switch to the appropriate booking document from our UK leave request forms for the whole team rather than stretching this one.

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Common mistakes to avoid

The most frequent error is treating the leave as paid by default. There is no statutory right to payment for time off for dependants, so a manager who casually tells an employee "do not worry, you will be paid" creates a contractual expectation that payroll then has to honour. The fix is to make the paid or unpaid status explicit on the form every time. The second recurring mistake is demanding documentary proof. Unlike sickness absence, section 57A carries no requirement for a fit note or evidence, and pressing for proof of a child's illness can itself look like a detriment under section 57B, which is the gateway to a tribunal claim. A practitioner's instinct is to log what the employee told you and leave it there.

Employers also routinely confuse a recurring problem with an emergency, approving the same Wednesday childcare gap month after month until it has plainly stopped being unexpected. At that point the right no longer applies and the employee should move to annual leave or unpaid parental leave, but the only way to spot the pattern is to have logged each instance on a consistent form. A related slip is forgetting that the right exists from day one with no qualifying service, which catches out managers who refuse new starters on the assumption they have not "earned" it yet. Refusing or penalising a valid request is the single most dangerous move, because dismissal or detriment for taking dependants leave is automatically unfair and feeds directly into the tribunal route, in the same family of risks as a badly handled exit handled without a proper UK dismissal letter template compliant with the ACAS Code.

Key takeaways

LEGAL BASIS

Day-one statutory right under s.57A ERA 1996

Time off for dependants is a statutory entitlement under section 57A of the Employment Rights Act 1996, available from the first day of employment. It covers a reasonable amount of unpaid time off to take necessary action when an emergency affects a dependant, such as illness, injury, death, a breakdown in care, or a school-hours incident. Managers should treat it as a right, not a favour.

SCOPE

Emergency cover, not ongoing caring duties

This leave is meant to deal with the immediate crisis and put alternative arrangements in place, not to provide extended care. A dependant includes a spouse, partner, child, parent, or someone who reasonably relies on the employee for care. Keep the reason broad but clear, and watch for attempts to stretch a short entitlement into a longer absence better handled through parental leave, sickness absence, or another policy route.

RECORD-KEEPING

Put dates, reason and decision in writing

The form is an administrative record, not a contract, and its value is evidential. It logs who was off, when, the reason in broad terms, and the employer’s decision, so the absence is handled consistently rather than agreed in a quick chat and forgotten by payroll. A clean paper trail helps later if pay, absence scoring, or a capability conversation turns on what was agreed.

Frequently Asked Questions

The form itself is an administrative record rather than a contract, so it does not create or remove the underlying right, which exists by statute under section 57A of the Employment Rights Act 1996. What it does is provide a reliable, dated record of the request, the reason, the agreed dates, and the employer's decision, signed by both parties. That signed confirmation is exactly the kind of contemporaneous evidence an employment tribunal values if a dispute ever arises about whether leave was requested or approved. So while the form does not bind anyone to a new obligation, it makes the existing statutory position far easier to prove, which is the practical protection most businesses actually need.

The statute does not set a fixed number of days; it says the leave must be reasonable and for necessary action. In practice, the case law in Qua v John Ford Morrison Solicitors points to one or two days in most situations, enough to manage the immediate crisis and arrange longer cover, not to provide ongoing care personally. There is no annual cap written into section 57A, but the "reasonable" test is applied to each separate emergency. An employee taking repeated short absences for genuinely unexpected events can be within their rights, while one stretching a single incident over a week usually is not.

No. There is no statutory right to payment for time off for dependants, so the default position under the Employment Rights Act 1996 is that the leave is unpaid. Many employers choose to pay it as a matter of goodwill or contract, particularly for the first day, but that is a discretionary or contractual decision rather than a legal duty. The important thing is to state the paid or unpaid status clearly on the form so the employee is not misled and payroll is not left guessing. If you do offer paid dependants leave, it is worth setting that out consistently in your contracts of employment.

Unlike sickness absence, time off for dependants carries no statutory evidence requirement, so you should not demand a fit note or documentary proof of the dependant's situation. The employee's duty under section 57A is only to tell you the reason and the likely duration as soon as reasonably practicable. Pressing for proof can backfire, because subjecting an employee to a detriment for exercising the right is actionable under section 57B. The sensible approach is to record what the employee reported on the form and rely on the consistency of your logging, rather than on documents you have no lawful basis to require.

A dependant is a spouse, civil partner, partner, child, or parent of the employee, and also anyone who lives in the same household other than as a tenant, lodger, or employee. It can extend further to someone who reasonably relies on the employee for care or for arranging care, such as an elderly neighbour with no other support. The definition is deliberately broad because the right is about emergencies in relationships of genuine dependence, not a narrow family list. Your form captures the relationship rather than the dependant's identity, which is enough to confirm eligibility without collecting sensitive personal data you do not need.

The template downloads in fully editable Microsoft Word format and as a clean, print-ready PDF. The Word version lets you add your company name, logo, and any house-style wording before you start using it across the business, while the PDF gives you a tidy copy to sign and file on the personnel record. Because the form is reusable, most businesses customise it once and then use the same version for every dependants request, which is what keeps the record consistent. For wider absence management you can pair it with the other documents in our UK leave and absence templates for employers.

The statute requires notification as soon as reasonably practicable, which reflects the emergency nature of the right. In a true crisis, an employee may only be able to call once they are already dealing with the situation, and that is acceptable. They must tell you the reason for the absence and roughly how long they expect to be away. The form is designed to capture both the notification date and the expected duration so that, if the absence later runs longer than the reported emergency would justify, you have a clear timeline to refer back to without it becoming a confrontation.

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Dependants Leave Form UK | s.57A ERA 1996 Compliant
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Updated on May 30, 2026

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