Maternity / Adoption

Curtailment Notice

Before completing this form, please read the Shared Parental Leave section in the UECS Family Leave Policies document.

You should download this form and save it on your computer before completing it.

This form is to be completed if you wish to curtail (end) your maternity / adoption leave and pay so that your partner / you or the both of you may enter into a shared parental leave / pay arrangement. Shared parental leave / pay cannot be taken until you (the mother / primary adopter) have submitted this notice of curtailment. You will also need to complete the Notice of Entitlement and Intention to take Shared Parental Leave. To book Shared Parental Leave, you must also complete the Notice to Book Shared Parental Leave.

Employee Details

Surname:	Click to enter text	Forename/s:	Click to enter text
Department:	Click to Select	Home Address:	Click to enter text
I wish my maternity / adoption leave to end on:	Select Date …

Employee Signature

Print Name:	Click to enter text	Date Signed:	Select Date …
Signed:
Sign the form by either typing your name or uploading a JPEG image of your signature.

Save the completed form and send it by email to People & Culture, and your manager. You must give at least 8 weeks’ notice of your curtailment date. This should be at least 2 weeks after the birth / adoption of your child. If you are in receipt of Maternity Allowance, you must also submit a curtailment notice to your local Jobcentre Plus.