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Maternity Return To Work Form
"I need a Maternity Return to Work Form for an IT manager returning from maternity leave on March 15, 2025, with a hybrid working arrangement of 3 days in office and 2 days remote, including provisions for nursing breaks and creche facility access."
1. Employee Information: Basic details including employee name, ID, department, designation, and contact information
2. Leave Details: Information about the maternity leave period, including start and end dates, and any extensions taken
3. Return to Work Date: Confirmed date of return to work and any special arrangements for the first day
4. Working Pattern Declaration: Details of agreed working hours, days, and location upon return
5. Health and Safety Assessment: Confirmation of workplace risk assessment for returning mother and any required accommodations
6. Nursing Breaks Declaration: Documentation of entitled nursing breaks as per the Maternity Benefit Act
7. Manager Confirmation: Section for line manager to confirm return arrangements and necessary workplace adjustments
8. Employee Declaration: Employee's confirmation of the return arrangements and understanding of terms
1. Flexible Working Request: To be included if the employee is requesting new flexible working arrangements upon return
2. Phased Return Plan: Details of graduated return to work schedule, if applicable
3. Creche Facility Requirements: To be included if the employee wishes to utilize workplace creche facilities
4. Medical Clearance: Section for medical fitness certification if required by company policy
5. Training Requirements: Section detailing any refresher training or updates needed upon return
6. Workplace Accommodations: Specific section for any additional accommodations needed for nursing mothers or health-related requirements
1. Schedule A - Return to Work Checklist: Detailed checklist for HR and line manager to ensure all return to work arrangements are in place
2. Schedule B - Flexible Working Terms: Detailed terms and conditions if flexible working arrangements are agreed upon
3. Schedule C - Health and Safety Assessment Form: Detailed workplace risk assessment form for returning mothers
4. Appendix 1 - Employee Rights Summary: Summary of statutory rights for returning mothers under Indian law
5. Appendix 2 - Company Policies: Relevant company policies regarding maternity return and nursing mothers
Authors
Technology
Manufacturing
Financial Services
Healthcare
Education
Retail
Professional Services
Telecommunications
Hospitality
Banking
Insurance
Pharmaceutical
Construction
Media and Entertainment
Public Sector
Human Resources
Legal
Compliance
Employee Relations
Occupational Health
Administration
Benefits Administration
Diversity and Inclusion
HR Manager
HR Business Partner
Employee Relations Manager
Compliance Officer
Legal Counsel
Department Manager
Line Manager
Occupational Health Manager
HR Administrator
Benefits Coordinator
Employee Experience Manager
Diversity and Inclusion Manager
Workplace Safety Officer
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