Section 1
Section Navigation Bar
Form MSL1

Application for Maternity Support Leave and Pay Details - EHCC staff only

 
Padlock
Data Protection Act 1998 - we will only process your personal data in order to respond to your Maternity Support Request, which will be treated confidentially. In general it will be used for administrative, monitoring and statistical purposes.
 
For further information on maternity 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 1 Personnel Number
 
 
 
 
Date of Commencement with HCC *
Date of Commencement with HCC
 
Date of continuous local government service *
Date of continuous local government service
 
Is the Maternity Support for *
Is the Maternity Support for
 
Expected week of childbirth: *
Expected week of childbirth:
Expected week of placement *
Expected week of placement
 
A photocopy of the Mat B1 Certificate has been sent to the IBC.
A photocopy of the Mat B1 Certificate has been sent to the IBC.
 
A photocopy of the Matching Certificate has been sent to the IBC.
A photocopy of the Matching Certificate has been sent to the IBC.
 
Indicate the dates you wish to take (maximum of 5)
Indicate the dates you wish to take (maximum of 5)
 
 
I confirm that the above information is correct and that I understand and accept the conditions of the Maternity Support Leave Scheme.
Please tick box *
 
eForms by AchieveForms