Application for Maternity/Adoption Leave

Original Notification to be forwarded to:
Finance,
Payroll Section,
Charles Stewart House
9-16 Chambers Street / Please also email a copy of this form to your College/Support Group HR Team
1. Personal Details
Employee Name: -
Staff Number: - / Tel No:-
School/Support Dept: -
College/Support Group: -
2.  Maternity/Adoption Leave – (delete as appropriate) SECTION A*
Date Leave Commenced:
3.  Maternity/Adoption Leave – (delete as appropriate) SECTION B*
Date to be Paid From:
Date Return to Work:

Section A* to be completed for notification – please retain a copy

Section B* to be completed for return date to be paid from – please retain a copy.

4.  Form authorised and submitted by:
Signature: / Date:

For Salaries Office use only

STATUTORY PAYMENTS

Maternity / Adoption

Link to University Maternity Policy:

http://www.docs.csg.ed.ac.uk/HumanResources/Policies/Maternity-Policy-.pdf http://www.docs.csg.ed.ac.uk/HumanResources/Policies/Adoption_Surrogacy_Leave_and_Pay_Policy.pdf

2013