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Form for employee to request to vary dates of paternity leave (birth before 7 April 2024)

Author: Lynda Macdonald

When to use this model paternity leave form

Use this model form to give an employee who has requested paternity leave the means to notify you of a variation to the dates of the paternity leave, where the expected week of childbirth is before 7 April 2024.

For a version of the form reflecting reforms introduced by the Paternity Leave (Amendment) Regulations 2024, see our Form for employee to cancel or vary dates of paternity leave (birth after 6 April 2024).