Pregnancy notification checklist form template

£12.99
Editable template
Instant download
UK-specific & legally compliant
12 months updates included
2026 Reviewed

Use this Pregnancy Notification Checklist to manage the key actions following an employee's pregnancy notification. It helps employers coordinate maternity administration, arrange a pregnancy risk assessment, consider workplace adjustments and keep important deadlines and follow-up actions on track.

Use this template to:

  • Record the employee's pregnancy notification and acknowledge it appropriately.
  • Identify maternity notification dates and relevant administrative deadlines.
  • Arrange an individual pregnancy risk assessment and implement necessary controls.
  • Consider working arrangements, antenatal appointments and any required adjustments.
  • Coordinate HR, line manager, payroll and health and safety responsibilities.
  • Track outstanding actions, maintain confidentiality and arrange reviews.
Pregnancy notification checklist form template preview

What you get with your purchase - much more than just a template!

Best practice example See what good looks like
Wider HR process Understand the bigger picture
Implementation guide Practical steps to follow
Common mistakes Know what to avoid
Get the complete resource

Don't just buy one template — get the complete Parental and family process toolkit

<p>If you are managing parental and family leave, the toolkit brings together practical HR templates covering notifications, eligibility, planning, leave and return to work.</p>

38 templates • £29.99 • 12 months' access & updates
View the process toolkit

What's in this template?

  • Employee notification and acknowledgement record.
  • Pregnancy and maternity notification dates and deadline tracking.
  • Pregnancy risk assessment and workplace safety actions.
  • Antenatal appointment and adjustment considerations.
  • Maternity leave, pay and payroll administration prompts.
  • Confidential record keeping, responsibilities and review actions.
Template

Download .doc

Edit .xls

Copy [to paste]

Email

Pregnancy notification checklist

Use this checklist to record and coordinate the actions required after an employee notifies the organisation of a pregnancy. Complete the relevant sections, allocate responsibility for outstanding actions and keep the record confidential.

Section 1: Employee and notification details

Employee name  
Job title  
Department  
Line manager  
Date notification received  
Notification received by  
Expected week of childbirth / due date, if provided  
Intended maternity leave start date, if provided  
HR contact  

Section 2: Initial response

Action Complete Date / notes
Acknowledge the notification privately and sensitively. [ ]  
Explain the next steps and identify the appropriate HR contact. [ ]  
Ask whether the employee has any immediate workplace safety concerns or support needs. [ ]  
Explain confidentiality arrangements and agree who needs to know for legitimate work-related reasons. [ ]  
Record the notification securely and restrict access appropriately. [ ]
PREVIEW ENDS HERE

This is the end of the preview

You've seen 20% of how the Pregnancy notification checklist form template is structured. Get the complete editable template instantly and customise it for your organisation.

£12.99
Specifications
Access 12 months, with updates
Length 3 pages • 1,049 words
Jurisdiction England, Wales, Scotland
Based on UK law, ACAS guidance
Last update 13/10/2026
Update reason ACAS guidance update.
Next review 13/04/2027
Delivery & Format Instant digital delivery, .doc · .xls · .txt · email

What is a pregnancy notification checklist form?

Pregnancy notification checklist form template

When an employee tells their employer they are pregnant, there are several practical and legal matters to coordinate. These may include maternity notification dates, workplace health and safety, antenatal appointments, adjustments to working arrangements and maternity leave and pay administration.

This Pregnancy Notification Checklist provides HR teams and managers with a structured record of the actions to consider, the people responsible and any outstanding deadlines. It is intended to support a consistent response without replacing individual advice or the employer's statutory duties.

Respond promptly and respectfully

Acknowledge the notification, discuss the employee's immediate needs and explain what will happen next. Keep information confidential and share it only with those who need it for a legitimate work-related purpose. Avoid making assumptions about the employee's health, intended leave dates or future working arrangements.

Arrange the risk assessment and any necessary adjustments

Consider the employee's actual duties, work environment, hours and potential exposure to hazards. Arrange an appropriate pregnancy risk assessment, consult the employee and implement protective measures where needed. If risks cannot be adequately controlled, seek HR and health and safety advice about the applicable requirements for adjustments, suitable alternative work or suspension on full pay.

Track maternity dates and administration

Record the expected week of childbirth when provided, the employee's intended maternity leave date and relevant notification deadlines. Check eligibility and evidence requirements for statutory maternity pay separately from maternity leave entitlement. Coordinate with payroll and explain the information needed from the employee without treating the checklist itself as proof of eligibility.

Maintain communication and review arrangements

Agree how and when the employee and manager will communicate about workplace arrangements, outstanding actions and changes in circumstances. Review the risk assessment when needed and update maternity administration as plans change. Use the checklist as a live record of progress, not simply as a form to complete once.

Best in class example

An employee tells her line manager that she is pregnant and provides an expected due date. The manager acknowledges the notification privately, explains that HR will help coordinate the next steps and records the information securely. The employee is asked about any immediate work-related concerns, without being pressured to disclose unnecessary medical details.

HR records the expected week of childbirth and discusses the intended maternity leave start date and relevant notification requirements. Payroll checks the employee's potential SMP eligibility and explains when the MATB1 certificate will be needed. The manager arranges an individual pregnancy risk assessment with the employee and health and safety support, identifying any changes needed to duties or working conditions.

The checklist records the agreed actions, responsible people and deadlines. The employee is informed of arrangements for antenatal appointments, how to report any pregnancy-related difficulties and whom to contact if circumstances change. Any risks requiring immediate controls are addressed promptly rather than left until the checklist is complete.

HR retains the completed checklist securely and follows up outstanding actions with the manager and payroll. The risk assessment is reviewed when necessary, and maternity dates and pay arrangements are updated if the employee's plans change. The checklist provides an audit trail without replacing the individual decisions required in each case.

The wider HR process

Related HR resources and workflow

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

Previous
Guides
Managers guide to maternity leave

This Managers Guide to Maternity Leave helps UK line managers support pregnant employees and manage maternity leave from the initial notification through to the employee's return to work.

This
Pregnancy notification checklist form
Next
Forms
Maternity leave notification form

This Maternity Leave Notification Form provides a structured way for an employee to notify their employer of their pregnancy and intended maternity leave arrangements.

Premium content

To continue reading, purchase this item or a parent toolkit, library or our full library.

Implementation guidance

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

Step Description Responsibility Timing (Days from Issue)
1 Acknowledge the notification privately, record the information provided and ask whether there are immediate workplace concerns or support needs. Explain the next steps and confidentiality arrangements. Line Manager Day 0 to Day +1 after notification.
2 Record the expected week of childbirth and intended maternity leave date when provided. Identify relevant notification deadlines and request any required information without unnecessary delay. HR Day 0 to Day +3; track statutory deadlines throughout the process.
3 Arrange the individual pregnancy risk assessment, consult the employee and implement any immediate protective measures. Escalate unresolved risks to competent health and safety support. Line Manager and H&S Promptly after written notification, with immediate action where a risk requires it.
4 Check potential SMP eligibility, explain the MATB1 evidence requirement and coordinate payroll administration, antenatal appointment arrangements and any agreed adjustments. HR and Payroll Start by Day +5 where practicable; follow the applicable statutory notice and evidence deadlines.
5 Confirm outstanding actions, communicate agreed arrangements, retain the checklist securely and schedule reviews of the risk assessment and maternity plans. HR and Line Manager By Day +10 for the initial action review, then whenever circumstances change and at agreed review points.
Premium content

To continue reading, purchase this item or a parent toolkit, library or our full library.

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 acknowledge the notification promptly or discuss immediate workplace safety concerns.
  • Confusing maternity leave eligibility with Statutory Maternity Pay eligibility.
  • Missing maternity notification deadlines or failing to confirm agreed leave dates in writing.
  • Delaying the individual risk assessment or failing to implement necessary protective measures.
  • Failing to explain antenatal appointment rights or to handle pregnancy-related sickness appropriately.
  • Sharing pregnancy-related information unnecessarily or failing to review outstanding actions when circumstances change.
Premium content

To continue reading, purchase this item or a parent toolkit, library or our full library.

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.

A pregnancy notification checklist helps employers coordinate maternity administration and workplace safety actions when an employee reports a pregnancy. It supports compliance but does not replace the employer's statutory responsibilities or the need to consider the individual's circumstances. The guidance below applies to Great Britain; Northern Ireland has a separate legal framework.

Pregnancy notification and maternity leave

An employee who intends to take statutory maternity leave must normally notify the employer of the expected week of childbirth and the intended maternity leave start date by the end of the 15th week before the expected week of childbirth. If this is not reasonably practicable, they should notify the employer as soon as possible. The notification does not have to be in writing unless the employer requests it. Employees can change their intended maternity leave start date, normally by giving at least 28 days' notice, or as soon as reasonably practicable if that is not possible. Employers should confirm the agreed maternity leave dates in writing within 28 days of receiving the notification. See GOV.UK at https://www.gov.uk/employers-maternity-pay-leave/notice-period and ACAS at https://www.acas.org.uk/statutory-maternity-leave-and-pay/planning-leave.

Statutory maternity pay

Statutory maternity leave and Statutory Maternity Pay (SMP) have different eligibility rules. SMP eligibility generally depends on employment and earnings conditions, the qualifying week, correct notice and evidence of the expected week of childbirth. Employers should check eligibility using the current rules and keep the required records. If an employee does not qualify for SMP, provide the appropriate SMP1 form where required so they can explore a possible Maternity Allowance claim. See GOV.UK at https://www.gov.uk/employers-maternity-pay-leave/eligibility-and-proof-of-pregnancy.

Health and safety and risk assessment

Employers must assess and manage relevant workplace risks. Under the Management of Health and Safety at Work Regulations 1999, the employer must consider risks to new and expectant mothers and take the applicable protective steps when the relevant written notification is received. This includes an individual risk assessment for a worker who notifies the employer in writing that they are pregnant, have given birth within the previous six months or are breastfeeding. Where risks cannot be adequately controlled, the employer must follow the applicable requirements concerning adjustments, suitable alternative work and, where the legal conditions are met, suspension on full pay. See the legislation at https://www.legislation.gov.uk/uksi/1999/3242/contents and HSE guidance at https://www.hse.gov.uk/mothers/employer/.

Antenatal appointments

Employees are entitled to reasonable paid time off during working hours for antenatal care on the advice of a doctor, nurse or midwife. Employers should not unreasonably refuse the time off or require the employee to make up the time later. Except for the first appointment, an employer may ask for an appointment card or other evidence. Record arrangements consistently and confidentially. Rights for agency workers and other worker categories can differ. See ACAS at https://www.acas.org.uk/pregnancy-at-work/antenatal-appointments.

Confidentiality and discrimination

Pregnancy-related information should not be shared without the employee's permission unless there is a lawful basis to do so. Limit access to those who need the information for a legitimate work-related purpose. Employers must not treat an employee unfavourably because of pregnancy or maternity, and should avoid assumptions about the employee's health, commitment or future plans. See ACAS at https://www.acas.org.uk/pregnancy-and-maternity-discrimination/preventing-discrimination.

Pregnancy-related sickness and review

Pregnancy-related sickness should be handled appropriately and recorded separately from other sickness absence. Employers should not count pregnancy-related absence towards ordinary sickness trigger points in a way that results in unfavourable treatment. Maternity leave may start automatically if an employee is absent for a pregnancy-related illness during the four weeks before the week the baby is due. Keep the risk assessment and support arrangements under review as circumstances change. See ACAS at https://www.acas.org.uk/pregnancy-at-work/sickness-and-difficult-pregnancies.

Important: Use this checklist as a record of actions, not as a substitute for checking individual eligibility, deadlines and legal obligations. Refer complex maternity pay, health and safety or employment-rights questions to HR or an appropriate specialist.

You may also need these resources

FAQs

What should an employer do first when an employee announces a pregnancy?

Acknowledge the notification privately, ask about any immediate concerns or support needs, and explain the next steps. Arrange an individual risk assessment when the applicable notification requirements are met, record the relevant maternity dates and coordinate HR and payroll actions. Keep the information confidential.

When must an employee tell their employer about their pregnancy?

An employee who intends to take statutory maternity leave must normally notify the employer of the expected week of childbirth and intended leave start date by the end of the 15th week before the expected week of childbirth. If that is not reasonably practicable, they should notify the employer as soon as possible. The notification does not have to be in writing unless the employer requests it. Employers should encourage early notification where the employee is comfortable doing so, because it helps identify workplace risks.

Does every pregnant employee qualify for Statutory Maternity Pay?

No. Statutory maternity leave and Statutory Maternity Pay have different eligibility rules. SMP generally depends on the employee's continuous employment, earnings, qualifying week, notice and evidence of pregnancy. Check the current rules and provide the appropriate SMP1 form where required if the employee does not qualify for SMP.

Is a pregnancy risk assessment compulsory?

Employers must assess and manage relevant workplace risks. The applicable individual protective measures must be considered when the employer receives the relevant written notification that a worker is pregnant, has given birth within the previous six months or is breastfeeding. Risks must be removed or controlled as required by law, and the assessment should be reviewed when circumstances change.

Why use HRDocBox?

HRDocBox provides practical HR resources to help employers manage workplace processes consistently. This checklist brings together pregnancy notification, maternity administration, risk assessment, employee support and follow-up actions in one reusable record, helping managers and HR teams coordinate responsibilities.

Why use HRDocBox rather than asking AI?

AI can suggest actions, but it may omit a deadline, confuse maternity leave with maternity pay or overlook a workplace safety obligation. This checklist provides a structured starting point for recording and tracking actions. Employers should still check current official guidance, individual eligibility and the specific circumstances before making decisions.

How this content is developed and reviewed

The Pregnancy notification checklist 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.

Executive recommendation

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

"He is someone I trust; consistent, dependable, and committed to doing things properly."

RB
Ruth Brock Chief Executive Officer The Hygiene Bank
Get started today

HR confidence starts here

Whether you employ 5 people or 50, hrdocbox gives you the structure, documents and expertise needed to manage employees professionally and legally.

Download your FREE UK employment contract template

Professionally written and fully compliant with UK employment law

Download FREE contract
Free UK employment contract template