[{"id":"acc11514-ac53-49fd-a041-132651f08605","order":10,"text":"UNPAID PARENTAL LEAVE","fontSize":"20","textAlign":"center","bold":true,"underline":false,"marginBottom":"0","cflou":false,"active":true},{"id":"5b00fe11-8ec1-49cb-9c56-fcc1b89f74cc","order":20,"text":"REQUEST AND WRITTEN CONFIRMATION","fontSize":"16","textAlign":"center","bold":true,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"5d171a81-9446-4fb3-a274-90c58ba59bb5","order":30,"text":"Made under the Maternity and Parental Leave etc. Regulations 1999 (as amended)","fontSize":"11","textAlign":"center","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"a668dc8c-5084-4858-820f-f3ecaa78c331","order":40,"text":"BETWEEN","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"45da92b8-a1c7-4add-b607-daa71b404b87","order":50,"text":"[Employer / organisation name], the employer (the \"Employer\"); and","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"db030a0a-77d3-4772-9b07-3dfb1c319fff","order":60,"text":"[Employee full name], [Employee job title] in the [Department / team] team (payroll reference [Payroll / staff number]), the employee (the \"Employee\").","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"5852b0db-aacb-48cc-9154-9a2e586d224e","order":70,"text":"PART A — EMPLOYEE'S REQUEST","fontSize":"16","textAlign":"center","bold":true,"underline":false,"marginBottom":"20","cflou":false,"active":true,"marginTop":"20"},{"id":"24d4c72d-a10b-4a9b-b1f5-a6007a973658","order":80,"text":"THE CHILD","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true},{"id":"7672ef9a-f98a-4eb9-9773-4f2911a313fa","order":90,"text":"The Employee gives notice of his or her intention to take unpaid parental leave in respect of [Child’s full name] (the \"Child\"), born or placed for adoption on [Date of birth / placement]. The Employee is the mother of the child and confirms that he or she has, or expects to have, parental responsibility for the Child.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"0db83bfe-5e3d-4e20-a72b-42822eb3221c","order":100,"text":"The Employee is able to provide, if reasonably requested, a copy of the child’s birth certificate as evidence of that parental responsibility.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"0597c632-dc0f-4146-913b-e6c2104a37b7","order":110,"text":"The Child is a disabled child within the meaning of the Regulations. Accordingly, and by agreement, leave may be taken in blocks of less than one week where appropriate, including for medical appointments and treatment relating to the Child.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"40bf2052-125c-48bf-ba5c-4736d3958d0e","value":"No","type":"remove","operator":"="}]},{"id":"9edff566-e513-4011-9a4f-aea1ba8917e2","order":120,"text":"ENTITLEMENT","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true},{"id":"ead99d0c-9099-4a44-bdba-58a14468deed","order":130,"text":"The Employee is entitled to a total of 18 weeks' unpaid parental leave in respect of the Child, exercisable at any time up to the Child's eighteenth birthday. This entitlement is an individual right which cannot be transferred between parents.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"dcb0c16f-c402-43a8-abb8-c34ecc9522a5","order":140,"text":"The Employee's normal working pattern is [Normal working pattern], and one \"week\" of leave is to be calculated by reference to that pattern. The Employee's employment with the Employer began on [Date employment began]. The parties acknowledge that unpaid parental leave is a day-one right and that no minimum period of qualifying service applies.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"024ea7b0-18dc-4333-b45b-dbcdf3daf3b3","order":150,"text":"To date the Employee has taken [Weeks already taken] week(s) of parental leave in respect of the Child (including any taken with a previous employer), of which [Weeks taken this year] week(s) fall within the current leave year. The Employee confirms that the leave now requested does not exceed the remaining 18-week entitlement, nor (save where the Employer agrees otherwise) the limit of four weeks per child in any one leave year.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"d916c65e-4da5-4e33-9dae-35e3a51ff689","order":160,"text":"LEAVE REQUESTED","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true},{"id":"bbc046e4-5775-4e7d-9631-781234457fde","order":170,"text":"The Employee requests [Number of weeks] week(s) of unpaid parental leave, to commence on [Requested start date] and to end on [Requested end date] (inclusive).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"b719582d-d5ec-4f19-baf0-5cccfe4fc4db","order":180,"text":"In accordance with the Regulations, the leave is to be taken in complete weeks rather than individual days, unless the Employer agrees otherwise.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"40bf2052-125c-48bf-ba5c-4736d3958d0e","value":"Yes","type":"remove","operator":"="}]},{"id":"24507508-44f2-477b-ac59-8d628ddbe809","order":190,"text":"The Employee gives this notice at least 21 days before the requested start date (or, where the leave relates to a birth or placement, at least 21 days before the expected week of childbirth or placement). Where it has not been practicable to give 21 days' notice — for example in the case of premature birth — the Employee has given notice as soon as reasonably practicable.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"59bdda6d-d4cd-4f13-bed1-f547e2ecf8d2","order":200,"text":"STATUS OF THE EMPLOYEE DURING LEAVE","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true},{"id":"2ed6b941-3c49-4c45-9d96-c5052c8b76aa","order":210,"text":"The leave is unpaid. During the period of leave the Employee's contract of employment continues in force, save in respect of pay, and the Employee remains bound by the implied obligations of good faith. The Employee continues to accrue statutory annual leave and pension rights during the period of leave, and is entitled to return to the same job on terms no less favourable than would have applied had the leave not been taken.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"2ccf7cf8-e0e7-44e3-936d-c5a665781df8","order":220,"text":"HANDOVER AND COVER","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true},{"id":"71b47ee9-7c82-41af-b71a-90ada00133a5","order":230,"text":"During the Employee's absence, day-to-day responsibilities will be covered by [Colleague covering]. The following handover arrangements have been agreed: [Handover notes / arrangements].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"0a296601-8718-4f5c-b689-8167ad7ec5b7","order":240,"text":"DECLARATION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true},{"id":"7589acaa-9d85-4fc9-a3eb-ced738c392aa","order":250,"text":"The Employee declares that the information given above is true and complete to the best of his or her knowledge and belief, and that he or she will inform the Employer promptly of any material change to that information before the leave begins.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"563ab55e-b510-4599-9fcf-d64cb8b2008c","order":260,"text":"Signed by the Employee: [Employee signature]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"090924bd-32ac-417e-906f-bdcd0669aa74","order":270,"text":"Date: [Date of this request]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"25","cflou":false,"active":true},{"id":"d9af2aa7-1128-4e93-91ad-e57f6a9515d4","order":280,"text":"PART B — EMPLOYER'S WRITTEN CONFIRMATION","fontSize":"16","textAlign":"center","bold":true,"underline":false,"marginBottom":"20","cflou":false,"active":true,"marginTop":"20"},{"id":"71814d6b-960c-4684-a0bf-b36af507e370","order":290,"text":"RESPONSE TO THE REQUEST","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true},{"id":"c1da649b-f998-464c-bfb0-d8c8dd5409b0","order":300,"text":"The Employer confirms that the Employee's request for unpaid parental leave is: APPROVED.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"b068e66e-5624-4602-ad67-3ae18f9dcf5f","order":310,"text":"The leave is approved on the terms requested, namely [Number of weeks] week(s) commencing on [Requested start date] and ending on [Requested end date] (inclusive). Payroll, the Employee's line manager and the relevant planning systems are to be updated accordingly.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"11747843-20ef-4ed8-804b-65696f837056","value":"APPROVED","type":"add","operator":"="}]},{"id":"45ad70b7-b129-44d4-8a68-7a716a9ea5ab","order":320,"text":"The leave is approved by mutual agreement on amended dates, commencing on [Agreed start date] and ending on [Agreed end date] (inclusive). The duration of the leave is unchanged; only the dates have been varied with the Employee's consent. Payroll and the relevant planning systems are to be updated accordingly.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"11747843-20ef-4ed8-804b-65696f837056","value":"APPROVED ON AMENDED DATES","type":"add","operator":"="}]},{"id":"7e2719e1-468d-498d-96db-7ff8fe9ed87c","order":330,"text":"The Employer is unable to permit the leave on the dates requested and postpones it for a significant business reason, namely: [Significant business reason]. The Employer proposes that the leave instead commence on [Proposed new start date], which falls within six months of the originally requested start date. The duration of the leave is not reduced. This confirmation is given in writing within seven days of the original request. The Employer acknowledges that leave may not be postponed where it would immediately follow the birth or adoption of the Child.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"11747843-20ef-4ed8-804b-65696f837056","value":"POSTPONED","type":"add","operator":"="}]},{"id":"e7965353-8bf7-4d8b-9474-513ecf529331","order":340,"text":"GENERAL","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true},{"id":"d4a437c0-b30a-4d71-8339-98f2e1ef2aa0","order":350,"text":"This document records the parties' agreement as to the unpaid parental leave described above and is intended to provide a clear written confirmation for payroll, handover and planning purposes. It does not vary any other term of the Employee's contract of employment, nor any more favourable parental leave provision contained in the Employer's policies or any applicable collective agreement, which shall continue to apply. Nothing in this document reduces the Employee's statutory rights.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"850db0a6-3f2f-40ac-9e18-24336e6ae89a","order":360,"text":"Signed for and on behalf of the Employer: [Name of employer representative]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"df594509-1e63-4e5c-8f64-cea16051a6ba","order":370,"text":"Title: [Representative job title]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"64e8d52b-1c14-4eb0-90e6-1b26b6abd2c7","order":380,"text":"Date: [Date of employer’s confirmation]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"0","cflou":false,"active":true}]