Form OAdpt1

Notification of Overseas Adoption Leave and Pay Details

 
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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 indicate if you are a Newly Qualified Teacher
Please indicate if you are a Newly Qualified Teacher
 
Please use 'add' button to provide more than one Personnel Number
 
Date of Commencement with HCC *
Date of Commencement with HCC
Date of continuous local government service *
Date of continuous local government service
 
Please state end date *
Please state end date
 
 
Expected date of placement *
Expected date of placement
Date I was notified of being matched *
Date I was notified of being matched
Date the child entered/will enter Great Britain *
Date the child entered/will enter Great Britain
 
Please indicate your Intention *
Please indicate your Intention
Date on which your Adoption Leave will commence *
Date on which your Adoption Leave will commence
Date on which your resignation will commence *
Date on which your resignation will commence
 
Please indicate your intentions regarding Occupational Adoption Pay (OAP). You many either: *
Please indicate your intentions regarding Occupational Adoption Pay (OAP). You many either:
 
A photocopy of my Matching Certificate has been sent to Pay & Contract Support Services (PCSS).
A photocopy of my Matching Certificate has been sent to Pay & Contract Support Services (PCSS).
 
You need to show your Matching Certificate to your Line Manager and send a photocopy to Pay & Contract Support Services (PCSS). Your pay details cannot be completed until PCSS has received a photocopy of your Matching Certificate
 
Evidence of the child's entry into Great Britain has been sent to Pay & Contract Support Services (PCSS)
Evidence of the child's entry into Great Britain has been sent to Pay & Contract Support Services (PCSS)

You need to show your evidence of the child's entry to Great Britain to your Line Manager and send a photocopy to Pay & Contract Support Services (PCSS). Your pay details cannot be completed until PCSS has received a photocopy of this evidence.

 
I declare that I have elected to receive Statutory Adoption Pay and not Statutory Paternity Pay (Adoption), in respect of this adoption
Please tick box *
 
I understand that if I do not return to work for a least 3 months, I will be required to repay such sum(s) as specified by Hampshire County Council in respect of monies paid in excess of Statutory Adoption Pay
Please tick box *
 
I confirm that I am in the process of adopting a child and that the above information is correct. I also confirm that I understand and accept the conditions of the Occupational and Statutory Adoption Leave and Pay Scheme.
Please tick box *
 
I consent to Hampshire County Council procession 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 box *
 
Have you informed your line manager of your adoption? *
Have you informed your line manager of your adoption?
 

Complete your line manager's email address below and a copy of the form will be sent to them.

 
 
A copy of your form will be sent to your email address when you submit the form.
 
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