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Form PAT1BV

Notification of Variation of Paternity Leave and Pay Start Date

 
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Data Protection Act 1998 - we will only process your personal data in order to respond to your Paternity Request, which will be treated confidentially. In general it will be used for administrative, monitoring and statistical purposes.
 
For further information on paternity leave please check the HR Web Pages.
 
Please note that any information given on this form will be shared with your Line Manager.
 
 
The IBC promotes environmental sustainability, and prefer to use e-mail to paper letters.
Would you like correspondence to be sent to you electronically?
Would you like correspondence to be sent to you electronically?
 
*Please indicate if you are a Newly Qualified Teacher
 
Please use 'add' button to provide more than 1 Personnel Number
 
 
An employee will be entitled to take either a period of one week’s leave or two consecutive weeks’ paternity leave. An employee is not able to take two separate weeks’ leave. The leave will only be granted in one-week blocks and not as single days. Leave can start on any day of the week. It must be taken within 56 days (8 weeks) of the date of childbirth, or placement for adoption, of the child, as agreed with their Line Manager.
Date on which my paternity leave was scheduled to commence
Date on which my paternity leave was scheduled to commence
New date on which my paternity leave will commence
New date on which my paternity leave will commence
Please state the actual date of birth if the baby is born early or late
Please state the actual date of birth if the baby is born early or late
 
I confirm that I wish to vary my paternity leave and pay start date and hereby provide the required 28 days notice of it's variation
Please tick *
 
I have discussed this change of date with my Line Manager or Headteacher
Please tick *
 
I confirm that the above information is correct and that I understand and accept the conditions of the paternity leave and pay scheme. I also consent to Hampshire County Council processing this information and any relevant personal data for administrative purposes in relation to my request for paternity leave and pay.
Please tick *
 
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