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Mr A Green
Green and Black Plumbers Limited
13 Main Street
Middleton
[day/month/year]
Dear Mr Green
I wish to inform you that I want to take parental leave.
I attach a certificate from my doctor or midwife saying when my baby is due.
I want to take my leave between [day/month/year] and [day/month/year] as maternity leave, and then [day/month/year] to [day/month/year] as extended leave.
My partner, Jason Smith, is also applying for parental leave from his work at Smart’s Supermarket, 21 Kowhai Street, when our baby is born, at about [date], and then extended leave between [day/month/year] and [day/month/year].
The total leave we are applying for is no more than [52] weeks, excluding Jason’s two week’s paternity leave.
This page was last updated on:
25-Sep-2009
and is current.
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