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Maternity Return To Work Form
"I need a Maternity Return to Work Form for an employee returning in March 2025, requesting a 3-day work week with flexible start times, including provisions for breastfeeding facilities."
1. Employee Information: Essential details including employee name, position, department, employee ID, and contact information
2. Leave Details: Information about the current maternity leave period, including start date and originally planned end date
3. Proposed Return Details: Intended return to work date and preferred working pattern (full-time/part-time/flexible arrangements)
4. Role Information: Confirmation of returning role, including any changes to previous position or responsibilities
5. Manager Details: Information about the returning employee's direct manager/supervisor
6. Health and Safety Considerations: Declaration of any specific health and safety requirements or considerations
7. Required Accommodations: Space to specify any workplace adjustments or accommodations needed
8. Declaration: Employee confirmation that the information provided is accurate and acknowledgment of return-to-work conditions
1. Breastfeeding Arrangements: Section for indicating requirements for breastfeeding or expressing milk at work, including facilities and break times needed
2. Phased Return Plan: Detailed schedule for gradual return to work, if applicable
3. Training Requirements: Section for identifying any refresher training or updates needed before or upon return
4. Flexible Working Request: Formal request for flexible working arrangements, including detailed proposed schedule
5. Alternative Duties: Section for temporary modifications to duties or responsibilities if required
1. Schedule A - Proposed Working Pattern: Detailed breakdown of proposed working hours, days, and patterns if requesting part-time or flexible arrangements
2. Schedule B - Workplace Adjustments Checklist: Checklist of required workplace adjustments or accommodations
3. Schedule C - Return to Work Timeline: Timeline for phased return to work if applicable, including progression of hours/responsibilities
4. Appendix 1 - Employee Rights Summary: Summary of employee rights and entitlements under relevant legislation
5. Appendix 2 - Support Resources: List of available support resources, including HR contacts, employee assistance programs, and relevant policies
Authors
Healthcare
Education
Financial Services
Professional Services
Retail
Manufacturing
Technology
Government
Non-Profit
Mining
Construction
Hospitality
Telecommunications
Media and Entertainment
Transport and Logistics
Human Resources
People and Culture
Employee Relations
Workplace Health and Safety
Diversity and Inclusion
Operations
Legal
Compliance
HR Manager
HR Officer
HR Business Partner
Return to Work Coordinator
Employee Relations Manager
Diversity and Inclusion Officer
People and Culture Manager
Workplace Health and Safety Manager
Line Manager
Department Manager
Team Leader
Supervisor
Operations Manager
General Manager
Chief People Officer
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