Form: Paid Parental Leave Form Employer – Organisation Name(Required) Name of the person taking leave(Required) First Last What is the expected date of birth/adoption?(Required) DD slash MM slash YYYY What dates does your employee intend to take Paid Parental Leave?(Required) DD slash MM slash YYYY Start DateEnd Date(Required) DD slash MM slash YYYY End DateLast date of employment before taking commencing parental leave?(Required) DD slash MM slash YYYY Does your organisation provide employer-sponsored Paid Parental Leave?(Required)YesNoHow many weeks of employer-sponsored parental leave do you provide?(Required) Are you expecting your employee's government-funded Paid Parental Leave to be paid to your organisation by Services Australia?(Required)YesNoWill your employee be taking their leave in blocks or in full?(Required) Blocks – please provide dates for first block below Full Not Known Please provide dates of the first blocks Will you be providing Top Up Pay?(Required)YesNoPlease provide details of what top up pay you will be providing. Will you be paying superannuation at the statutory rate on Paid Parental Leave?(Required)YesNoWill your employee be taking any other paid leave during their parental leave period?(Required)Annual LeaveLong Service LeaveUnsurePlease provide details as you understand them to be at this moment.Will your employee be taking Return to Work days?(Required)YesNoUnsurePlease advise us within 5 days each time a return to work day is used to allow time for us to ensure payroll is processed correctly.Person who advised of taking Paid Parental Leave(Required) First Last Authoriser’s Name(Required) First Last Authoriser’s Email(Required) Δ
