Notice to Book

Shared Parental Leave

Before completing this form, please read the Shared Parental Leave section in the UECS Family Leave Policies document. If you have not yet done so, you must also complete the following forms: Notice of Entitlement and Intention to take Shared Parental Leave, and Maternity / Adoption Curtailment Notice.

You should download this form and save it on your computer before completing it.

Employee Details

Surname:	Click to enter text	Forename/s:	Click to enter text
Department:	Click to Select	Contact Telephone Number:	Click to enter text
Contact Email Address:	Click to enter text
My partner is the child’s:
Biological Mother:	☐	Biological Father:	☐	Mother’s Partner:	☐	Primary Adopter:	☐	Secondary Adopter:	☐

Confirmation of Entitlement

I confirm that my partner and I continue to be entitled to take shared parental leave as declared on my Notice of Entitlement and Intention to take Shared Parental Leave Form.	☐

Details of Shared Parental Leave

Number of Shared Parental Leave weeks available (50 weeks minus the number of weeks maternity / adoption leave taken or to be taken)	Click to insert number of weeks
Total number of weeks of Shared Parental Leave you will take (provide detail below):	Click to insert number of weeks
Start Date:	End Date:	Number of Weeks:
Select Date …	Select Date …	Click to insert number of weeks
Select Date …	Select Date …	Click to insert number of weeks
Select Date …	Select Date …	Click to insert number of weeks
Total number of weeks of Shared Parental Leave your partner will take (provide detail below):	Click to insert number of weeks
Start Date:	End Date:	Number of Weeks:
Select Date …	Select Date …	Click to insert number of weeks
Select Date …	Select Date …	Click to insert number of weeks
Select Date …	Select Date …	Click to insert number of weeks

Details of Shared Parental Pay

Number of weeks Shared Parental Pay available (37 weeks minus the number of weeks pay already taken by the mother / primary adopter)	Click to insert number of weeks
Total number of weeks of Shared Parental Pay you choose to receive (provide detail below):	Click to insert number of weeks
Start Date:	End Date:	Number of Weeks:
Select Date …	Select Date …	Click to insert number of weeks
Select Date …	Select Date …	Click to insert number of weeks
Select Date …	Select Date …	Click to insert number of weeks
Total number of weeks of Shared Parental Pay your partner chooses to claim (from their employer) (provide detail below):	Click to insert number of weeks
Start Date:	End Date:	Number of Weeks:
Select Date …	Select Date …	Click to insert number of weeks
Select Date …	Select Date …	Click to insert number of weeks
Select Date …	Select Date …	Click to insert number of weeks

Employee Confirmation

Print Name:	Click to enter text	Date Signed:	Select Date …
Signed:
Sign the form by either typing your name or uploading a JPEG image of your signature. Save the completed form and send it by email to People & Culture, and your manager. This form should be submitted at least 8 weeks before you intend to start your shared parental leave.