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Form Adpt1VAR

Variation of Adoption Leave Notification

 
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Data Protection Act 1998 - we will only process your personal data in order to respond to your Adoption Request, which will be treated confidentially. In general it will be used for administrative, monitoring and statistical purposes.
 
For further information on adoption leave please check the HR Web Pages.
 
Please note that any information given on this form will be shared with your Line Manager.
 
Please use 'add' button to provide more than 1 Personnel Number
 
 
What information would you like to vary from your original notification - tick one or more boxes
What information would you like to vary from your original notification - tick one or more boxes
 
Date this address becomes effective
Date this address becomes effective
 
Are you requesting e-mails for the first time or amending a previously given e-mail address?
Please tick
Please tick
 
*Please indicate if you are a Newly Qualified Teacher
 
Please enter details of New Place of Employment
 
Date on which my adoption leave was scheduled to commence
Date on which my adoption leave was scheduled to commence
New date on which my adoption leave will commence
New date on which my adoption leave will commence
 
Please note, an employee who has notified their employer of the date on which they intend their Adoption Leave to commence may subsequently vary that date, providing that they notify their employer of the variation at least:
 
28 days before the date varied, or
 
 
28 days before the new date,
 
whichever is the earlier, or if that is not reasonably practicable, as soon as possible.
 
I confirm that I wish to vary my adoption leave start date and hereby provide the required notice of it's variation.
Please tick *
 
I also confirm that I have discussed this change of date with my Line Manager or Headteacher.
Please tick *
 
I confirm that I am in the process of adopting a child and the above information is correct. I also consent to Hampshire County Council processing this information and any relevant personal data for administrative purposes in relation to me adopting a child and my request for adoption leave and pay.
Please tick *
 
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