Employee’s Start Date

1. [EMPLOYEE NAME] - Maternity Entitlements – Prior to the Birth Weeks before Expected Week of Confinement (EWC) Employee’s Start Date 15 11 4 EWC DATE 1 DATE 3 DATE 5 DATE 6 DATE 2 DATE 7 Time off for Antenatal Care Entitlement to Ordinary Maternity Leave (OML) Entitlement to Additional Maternity Leave (AML) Compulsory Maternity Leave • Latest date of Employee • Notification. To include: • Taking OML and / or AML • When Maternity leave will start • The week that the child is due • Enclose Form MAT B1 signed by GP or Midwife Earliest Start of Maternity Leave Absence related Start of Maternity Leave Entitlement to Statutory Maternity Pay Birth of Baby 26 weeks Continuous Service Requirement (DATE 4)

2. [EMPLOYEE NAME] - Maternity Entitlements – After the Birth EWC 1 2 DATE 2 DATE 7 Compulsory Maternity Leave Entitlement to Ordinary Maternity Leave Higher Rate Maternity Pay Six weeks Lower Rate Maternity Pay Twenty weeks Lower Rate Maternity Pay Thirteen weeks Return to work Employee to confirm returning to work or take AML 4 weeks Entitlement to Additional Maternity Leave (AML) Employee to confirm returning to work Return to work 4 weeks Birth of Baby 26 weeks 26 weeks DATE 8 DATE 9 DATE 10 DATE 11 DATE 12