Paternity Leave Notification Form

  1. Please ensure that you have read the All About Healthcare Peternity Leave Policy, before completing this form.
  2. Please note that any public holidays, which fall during the period of maternity leave, will be added on to the end of the period.
  3. If you intend taking annual leave directly following maternity leave, this must be agreed in advance with your Manager.

This form should be completed and returned to: HR, The Grange Office, Stillorgan Rd, Blackrock, Co. Dublin.

Under the Paternity Leave and Benefit Act 2016 I hereby notify All About Healthcare of my intention to take Paternity Leave as requested and provide a certificate from my partner’s doctor confirming the baby’s actual date of birth.

Paternity Leave Form

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Other notifications requirements

I understand that records of this Paternity leave will be retained for a period up to 8 years under the Paternity Leave and Benefit Act 2016
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Office Use:

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