Acknowledgement of Maternity Leave Request

Dear…

I congratulate you on the news of your pregnancy and thank you for __(for your letter informing me of your exciting news/completing the _type of_ forms/etc.)__. In response to your request for maternity leave, I wish to confirm that you are eligible for __(##)__ weeks maternity leave. Based on the start date you’ve indicated in your request, your maternity leave will begin on __(date)__ and will end on __date)__.

In the event that you wish to change the start date of your leave, if all possible please provide me with at least __(#)__ days notice prior to the new start date. If you decide to return to work prior to the date your maternity leave ends, I ask you to provide me with a minimum of __(#)__ days notice prior to returning. Should you decide not to return to work at all, please notify me at least __(#)__ days notice prior to your scheduled return date.

Optional: __(Attached/below you will find the schedule of pay during your maternity leave). Please feel free to contact me if you have any questions at all about your maternity entitlement.

Again, congratulations on your pregnancy __(Name)__. I wish you well.

Yours sincerely,

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