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Application for maternity leave credits

maternity BenefitTo be completed by your employer when you return to work. Employer, please note: additional unpaid maternity leave must start immediately after paid maternity Benefit, that is after maternity Benefit paid by the department, and is for maximum period of 16 weeks. We certify that the above employee has taken unpaid maternity leave as follows, do not include the date your employee was getting maternity Benefit: Application for maternity leave creditsName: Address:PPS Number: Telephone No: From: To: Total number of weeks of unpaid maternity leave taken:Signed by or for employerSignature not block s official stampPosition in company or organisationDate: Employer s registered No: Telephone No: Send the completed form to: maternity Benefit Section, Department of Social Protection, McCarter s Road, Buncrana, Co.

Maternity Benefit To be completed by your employer when you return to work. Employer, please note: Additional unpaid maternity leave must start immediately after paid Maternity Benefit, that is after Maternity Benefit paid by the department, and is for maximum period of 16 weeks. We certify that the above employee has taken unpaid maternity

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  Applications, Leave, Additional, Maternity, Maternity leave

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