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👤

What is your full name?

Your complete legal name as it appears on official documents

📱

What is your contact information?

Address and contact details

🏢

Who is your employer?

The company or organization you work for

📍

What is your employer's address?

Full business address including postcode

👶

What is your child's name and date of birth?

The child for whom you're claiming Additional Paternity Leave

👨‍👦

What is your relationship to the child?

E.g., Father, Step-father, Partner of mother

When you plan to return from Additional Paternity Leave
👩

What is the mother/partner's name?

The child's mother or your partner

💼

Where does the mother/partner work?

Employment details

When the mother/partner expects to return after maternity/adoption leave
📅

When do you wish to start Additional Paternity Leave?

Must be at least 20 weeks after child's birth/placement

Important: Additional Paternity Leave must start at least 20 weeks after the child's birth or placement for adoption.
⏱️

How long will you take Additional Paternity Leave?

Maximum 26 weeks

📝

When are you making this declaration?

Date and place of signing

Review: You've completed all questions. Click Generate to create your declaration.
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