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Return To Work After Maternity Leave Form
"I need a Return To Work After Maternity Leave Form for our Dublin-based tech company, where the employee will be returning in March 2025 with a hybrid working arrangement of 3 days office/2 days remote, including provisions for nursing breaks and facilities."
1. Employee Details: Basic information including employee name, employee ID, department, pre-maternity leave position, and line manager details
2. Return to Work Information: Confirmed return date, previous maternity leave start date, and expected working pattern upon return
3. Position Details: Confirmation of role returning to, including any changes to responsibilities or location
4. Working Arrangements: Details of agreed working hours, days, and location (including any hybrid/remote working arrangements)
5. Health and Safety Considerations: Confirmation of any risk assessments required and specific health and safety measures needed
6. Required Facilities: Documentation of any facilities needed (e.g., nursing/expressing facilities) and their availability
7. Confirmation and Signatures: Sign-off section for both employee and employer representative, confirming agreed arrangements
1. Flexible Working Request: To be included if the employee is requesting a change to their previous working pattern
2. Training Requirements: Section detailing any refresher training or updates needed due to changes during maternity leave
3. Phased Return Plan: Details of any agreed phased return to work, including timeline and progression
4. Breastfeeding Arrangements: Specific arrangements for nursing mothers, including breaks and facilities
5. Additional Leave Arrangements: Details of any additional parental leave or annual leave to be taken in conjunction with return
1. Schedule 1 - Risk Assessment Form: Template for conducting return to work risk assessment if required
2. Schedule 2 - Flexible Working Pattern Details: Detailed breakdown of new working pattern if different from pre-maternity leave arrangement
3. Appendix A - Employee Rights Summary: Summary of statutory rights for returning mothers, including breaks and facilities
4. Appendix B - Relevant Workplace Policies: List of relevant company policies (e.g., flexible working, nursing mothers policy)
Authors
Healthcare
Financial Services
Technology
Retail
Manufacturing
Education
Professional Services
Public Sector
Non-Profit
Construction
Hospitality
Media and Entertainment
Telecommunications
Transportation and Logistics
Human Resources
People Operations
Legal
Employee Relations
Compliance
Operations
Management
HR Manager
HR Director
HR Business Partner
Employee Relations Manager
People Operations Manager
HR Administrator
Line Manager
Department Manager
Team Leader
Operations Manager
Diversity and Inclusion Manager
People Manager
HR Coordinator
Compliance Officer
Legal Counsel
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