Maternity leave - University of Oxford

PART A – WORKING OUT YOUR ELIGIBILITY FOR LEAVE AND PAYTO THE DEPARTMENTAL ADMINISTRATORI am giving you this form to let you know that I am pregnant and to notify you of when I wantto start my maternity leave and to begin receiving maternity pay (if eligible).Personal Details1. Name: ………………………………Department: ………………………..……………………………………….Departmental Administrator’s name:…………………………………………..……………………………………………Guidance NotesWhen the baby is expected2. My baby is due in the week beginning:Sunday ……………………. (date ofexpected week of childbirth)Expected week of childbirthThe expected week of childbirth is theweek, beginning Sunday, in which it isexpected you will have your baby. This isthe date on your MATB1 form that yourdoctor or midwife will give you.3. A certificate (MATB1) confirming this:relevant boxTicka) Hasbeen given to you alreadyb) Isenclosed with this formCertificateYour doctor or midwife will give you aMATB1 form which will give you theexpected week of childbirth. You mustgive this to your departmentaladministrator at least 28 days before youwish to start your leave.c) Will begiven to you as soon aspossibleQualifying for the University’s maternity schemeFilling in this section of the form will enable you and your administrator to see if you qualifyfor the university maternity scheme and statutory maternity pay.