Maternity leave notification form template

£9.99
UK-specific Editable Instant download 12 months' updates

This Maternity Leave Notification Form provides a structured way for an employee to notify their employer of their pregnancy and intended maternity leave arrangements. It records the expected week of childbirth, planned leave start date and information relevant to maternity pay and maternity leave planning.

Use this form to:

  • Record notification of pregnancy and the expected week of childbirth
  • Confirm the employee's intended maternity leave start date
  • Record the intended Statutory Maternity Pay start date
  • Record whether pregnancy evidence or an MATB1 certificate has been provided
  • Provide information needed to plan maternity leave arrangements
  • Create a clear written record of the employee's notification
Maternity leave notification form template
2026 Reviewed

What's included in this template?

This template brings together the key information, sections and considerations you need to create a clear, comprehensive and professional HR document. Preview the document below.

  • Employee and employment details
  • Pregnancy and expected childbirth information
  • Planned maternity leave start date
  • Statutory Maternity Pay notification
  • MATB1 or pregnancy evidence record
  • Employee declaration and HR acknowledgement

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Maternity leave notification

This form should be completed by an employee to formally notify their employer of their pregnancy and intended maternity leave arrangements.

1. Employee details

Employee name:  
Job title:  
Department:  
Employee number:  
Line manager:  
Date form completed:  

2. Pregnancy details

Expected week of childbirth:  
Expected due date, if known:  
Date pregnancy notified to employer:  

3. Maternity leave arrangements

Intended maternity leave start date:  
Expected return to work date, if known:  
Intended length of maternity leave, if known:  

4. Statutory Maternity Pay

If you intend to claim Statutory Maternity Pay, please provide the following information. Eligibility for Statutory Maternity Pay is assessed separately from entitlement to

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£9.99
Specifications
Access 12 months, with updates
Length 2 pages • 448 words
Jurisdiction England, Wales, Scotland
Based on UK law, ACAS guidance
Last review 18/09/2026
Next review 18/03/2027
Delivery Instant digital delivery
Formats .doc · .xls · .txt · email

What is a maternity leave notification form?

Maternity leave notification form template preview

This form gives employees a straightforward way to provide the information needed to notify their employer of pregnancy and planned maternity leave. It provides a written record that can be retained with the employee's maternity leave documentation and used to support subsequent planning and administration.

Recording the pregnancy notification

The form records the employee's expected week of childbirth and the date on which the notification is made. Employees entitled to statutory maternity leave should normally notify their employer by the 15th week before the expected week of childbirth, or as soon as reasonably practicable if this is not possible.

Confirming the maternity leave start date

The employee can specify the date they intend to start maternity leave. The form should make clear that this is the employee's planned start date and that the date can subsequently be changed in accordance with the applicable notice requirements.

Recording maternity pay information

Maternity leave and Statutory Maternity Pay are separate entitlements. The form therefore provides a separate section for the employee to indicate their intended Statutory Maternity Pay start date and to record the provision of pregnancy evidence where required.

Supporting maternity leave planning

Once notification has been received, the employer can use the information to confirm the employee's maternity leave dates, consider workplace health and safety arrangements and discuss matters such as annual leave, keeping in touch arrangements and the employee's expected return to work.

Maintaining a clear HR record

A completed form provides an accessible record of the notification and the information supplied by the employee. It can be retained alongside other maternity documentation and updated if the employee subsequently changes their planned leave arrangements.

Example

An employee tells their line manager that they are pregnant and wants to formally notify the organisation of their maternity leave arrangements. HR provides the Maternity Leave Notification Form so that the required information can be recorded consistently.

The employee records their expected week of childbirth and confirms that they intend to start maternity leave on a specified date. They also indicate the date from which they expect Statutory Maternity Pay to begin.

The employee subsequently provides their MATB1 certificate when it becomes available. HR records receipt of the document and uses the information provided to confirm the employee's maternity leave arrangements and assess their entitlement to Statutory Maternity Pay.

The completed form is retained securely with the employee's maternity records. The employee and manager then discuss annual leave, any workplace health and safety considerations and arrangements for keeping in touch during maternity leave.

The wider HR process

Related HR resources and workflow

Explore the HR resources that may be relevant before and / or after using the Maternity leave notification form, helping you understand the wider process, maintain appropriate documentation and follow a consistent approach.

Previous
Policies
Maternity leave and pay policy

Our Maternity Leave and Pay Policy Template outlines the company's provisions for maternity leave, pay entitlements, and return-to-work arrangements, ensuring compliance with legal requirements and supporting expectant mothers throughout their pregnancy and beyond.

This
Maternity leave notification form
Next
Letters
Maternity leave acknowledgement (eligible for maternity pay) letter

If an employee has notified you that they intend to take maternity leave, issue this model letter template as acknowledgement, and to inform them that they are eligible for Maternity Pay.

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Implementation guidance

Use these best practice actions, recommended timescales and process stages to understand when and how the Maternity leave notification form should be used, helping ensure each step is handled consistently and appropriately documented.

Step Description Responsibility Timing
1 Provide the employee with the maternity leave notification form and explain the information required, including the expected week of childbirth and intended maternity leave start date. HR / Manager When pregnancy is notified
2 Complete and return the form, providing the required maternity leave and, where applicable, Statutory Maternity Pay information. Employee By the applicable statutory notice deadline
3 Check the information provided, including the proposed leave start date and any information relevant to Statutory Maternity Pay. HR / Payroll Within 5 working days of receipt
4 Confirm the employee's maternity leave start and expected return dates in writing and discuss relevant arrangements, including health and safety and annual leave. HR / Manager Within 28 days of receiving notification
5 Securely retain the completed form and update the record if the employee changes their planned maternity leave or return arrangements. HR Throughout maternity leave and employment
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Common mistakes

Understand the common mistakes to avoid when using this HR template, helping you reduce risk, prevent unnecessary costs and ensure the process is handled correctly.

  • Failing to record the expected week of childbirth
  • Confusing maternity leave notification with notification for Statutory Maternity Pay
  • Assuming that submitting the form automatically establishes entitlement to Statutory Maternity Pay
  • Failing to record the intended maternity leave start date
  • Failing to update records when agreed maternity leave dates subsequently change
  • Keeping pregnancy and maternity information in an insecure or unnecessarily accessible location
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HR considerations

UK employment law and best practice

This template is designed to support the process, but the document should be used alongside the relevant HR procedure and applied to the circumstances of the individual case.

Statutory maternity leave notification

An employee who is entitled to statutory maternity leave must normally tell their employer they are pregnant, provide their expected week of childbirth and state when they intend to start maternity leave no later than the 15th week before the expected week of childbirth. If this is not reasonably practicable, they should notify their employer as soon as possible. Employers can request the information in writing. https://www.acas.org.uk/statutory-maternity-leave-and-pay/planning-leave

Confirming maternity leave arrangements

Once an employee has provided the required information, the employer must respond within 28 days confirming the maternity leave start and expected return dates. Employees can subsequently change their intended maternity leave start date by giving the required notice. https://www.gov.uk/employers-maternity-pay-leave/notice-period

Statutory Maternity Pay

Maternity leave and Statutory Maternity Pay are separate entitlements. An employee seeking Statutory Maternity Pay must give the required notice of the date they want their SMP to start and provide appropriate evidence of pregnancy. Eligibility for SMP depends on separate statutory conditions. https://www.gov.uk/employers-maternity-pay-leave/eligibility-and-proof-of-pregnancy

Proof of pregnancy

An employer does not require proof of pregnancy for statutory maternity leave, but evidence is required for Statutory Maternity Pay. This will normally be provided through a MATB1 maternity certificate or appropriate medical evidence. https://www.gov.uk/maternity-pay-leave/how-to-claim

Health and safety during pregnancy

Employers should support pregnant employees and carry out an appropriate health and safety risk assessment as soon as possible after being informed of the pregnancy. Any identified risks should be considered and appropriate measures put in place. https://www.acas.org.uk/pregnancy-at-work

Confidentiality and personal information

Information about an employee's pregnancy and maternity arrangements should be handled sensitively and kept confidential, with access limited to those who need the information for legitimate employment, health and safety or payroll purposes. Employers should also ensure that pregnancy and maternity are not treated as a reason for unfavourable treatment or discrimination. https://www.acas.org.uk/pregnancy-at-work

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FAQs

When should an employee submit a maternity leave notification form?

An employee entitled to statutory maternity leave should normally notify their employer by the 15th week before the expected week of childbirth. If this is not reasonably practicable, they should notify their employer as soon as possible. Employers can request the notification in writing.

Does the form have to include the employee's MATB1 certificate?

No. Proof of pregnancy is not required for maternity leave notification itself. However, evidence of pregnancy will normally be required where the employee is claiming Statutory Maternity Pay.

Does submitting the form mean the employee is entitled to Statutory Maternity Pay?

No. Statutory Maternity Leave and Statutory Maternity Pay have separate eligibility requirements. HR or payroll should assess SMP eligibility separately.

Can an employee change their maternity leave start date?

Yes. An employee can change their intended maternity leave start date, normally by giving at least 28 days' notice of the new date or the original date, whichever is earlier. The employer may agree to a shorter period.

How long should the completed form be retained?

The form should be retained securely in accordance with the organisation's HR record retention arrangements and applicable data protection requirements. Access should be restricted to people who need the information for legitimate employment purposes.

Why use HRDocBox rather than AI?

HRDocBox templates are designed specifically for UK employers and combine practical HR experience with employment law, Acas guidance and established HR practice. They provide a structured starting point that can be adapted to an organisation's own processes rather than relying on an AI-generated document that may omit important practical or compliance considerations.

How this content is developed and reviewed

The Maternity leave notification form template is developed using a practical HR methodology that considers current UK employment legislation, ACAS guidance, CIPD good practice and the real-world HR process it supports. Templates and supporting information are regularly reviewed and updated, with additional reviews triggered by significant changes to legislation, guidance or established HR practice, helping ensure each document remains practical, relevant and suitable for UK employers.

About the author

Darryl Horn, Chartered HR Director

Darryl is a Chartered HR professional with over 25 years' experience in senior HR and employee relations roles.

He has extensive practical experience of managing parental and family HR processes and founded hrdocbox to provide businesses with practical, professionally developed HR resources grounded in UK employment law and best practice.

HRDocBox has been creating practical UK HR documents since 2009.

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"Darryl provides support and advice with excellent judgement, and has a strong understanding of people, policies and UK employment legislation."

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