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Maternity Leave Application (Ghana)

Maternity Leave Application (Ghana)

Maternity Leave Application

Date: [Application Date]

To: [Supervisor Name] [Employer Name] [Employer Address]

From: [Employee Name] Job Title: [Job Title] Department: [Department] Employee No.: [Employee Number] SSNIT No.: [SSNIT Number]

MATERNITY LEAVE APPLICATION

1. Notification of Pregnancy

I, [Employee Name], hereby notify [Employer Name] of my pregnancy and formally apply for maternity leave in accordance with Section 57 of the Labour Act 2003 (Act 651) of Ghana.

1.1

My expected date of delivery (EDD), as confirmed by my attending medical practitioner or midwife, is [Expected Delivery Date]. A medical confirmation letter is attached to this application.

1.2

I commenced employment with [Employer Name] on [Employment Start Date].

2. Requested Leave Dates

2.1

I request maternity leave commencing on [Leave Start Date], being [Weeks Before Delivery] before my expected date of delivery.

2.2

My expected return-to-work date is [Return To Work Date]. The total maternity leave period of 12 weeks satisfies the minimum requirement of Section 57 of the Labour Act 2003 (Act 651), with at least 8 weeks to be taken after delivery.

2.3

I confirm my entitlement to receive my full salary and all employment benefits during the 12-week maternity leave period as required by Section 57 of the Labour Act 2003 (Act 651). I request that SSNIT contributions continue to be remitted during my leave period in accordance with the National Pensions Act 2008 (Act 766).

3. Handover Arrangements

[Handover Arrangements]

I am willing to assist with a formal handover briefing before the commencement of my leave to ensure continuity of operations.

4. Breastfeeding Accommodation

Breastfeeding accommodation requested on return to work: [Breastfeeding Request].

Where breastfeeding accommodation is requested, I ask that the employer designate a private, hygienic space for breastfeeding or expressing milk, in accordance with Section 57(5) of the Labour Act 2003 (Act 651) and the ILO Maternity Protection Convention 2000 (No. 183).

5. Return to Work

I confirm my intention to return to work at the expiry of maternity leave on [Return To Work Date]. I request written confirmation from [Employer Name] that my position, salary, grade, and conditions of employment will be maintained on return, as required by Section 57(4) of the Labour Act 2003 (Act 651).

Signatures

I declare that the information provided in this Maternity Leave Application is accurate and complete.

Employee

________________

Signature

HR Manager / Authorised Signatory

________________

Signature

Maintained by Vladislav Sergienko, Founder·Template last modified: ·Report an error

What Is a Maternity Leave Application (Ghana)?

A Maternity Leave Application in Ghana is a formal written notice submitted by a pregnant employee to her employer requesting maternity leave in accordance with Section 57 of the Labour Act 2003 (Act 651), the principal employment statute governing the rights and obligations of employers and workers in Ghana. The Maternity Leave Application (Ghana) serves as the official record of the employee's notification of pregnancy, the expected date of confinement, the requested leave commencement date, and the proposed return-to-work date.

Section 57 of the Labour Act 2003 (Act 651) entitles every female worker in Ghana to at least 12 weeks of maternity leave. Of these 12 weeks, a minimum of eight weeks must be taken after delivery. The employer must pay the worker her full salary and benefits during the 12-week maternity leave period. A worker on maternity leave is fully protected against dismissal, demotion, or any other adverse employment action directly attributable to her pregnancy or maternity leave. Dismissal of a worker for reasons connected to pregnancy or maternity leave constitutes unfair termination under Section 63 of the Labour Act 2003 (Act 651), entitling the worker to compensation before the National Labour Commission (NLC).

The Social Security and National Insurance Trust (SSNIT), established under the National Pensions Act 2008 (Act 766), administers the basic social security scheme for formal sector workers in Ghana. SSNIT contributions paid by the employer (13% of the worker's basic salary) and the worker (5.5% of basic salary) build entitlement to pension and other long-term benefits. Maternity leave under the Labour Act 2003 (Act 651) is employer-funded (not SSNIT-funded), but SSNIT contributions must continue to be remitted during the maternity leave period.

The National Health Insurance Authority (NHIA), established under the National Health Insurance Act 2012 (Act 852), operates the National Health Insurance Scheme (NHIS). Pregnant workers and their newborns are entitled to antenatal, delivery, and postnatal care under the NHIS at accredited health facilities. Employers are required by law to enrol their workers in the NHIS. The Ghana Health Service (GHS), operating under the Health Service Act 1996 (Act 525), provides maternal and child health services at public health facilities across Ghana's 16 regions.

The Labour Commission Act 2003 (Act 651) establishes the National Labour Commission (NLC) as the body empowered to receive, investigate, and settle labour disputes in Ghana, including complaints by workers whose maternity rights have been violated. The NLC operates regional offices in Accra, Kumasi, Tamale, Takoradi, Cape Coast, and other regional capitals. Workers whose employers refuse to grant statutory maternity leave, reduce pay during maternity leave, or dismiss them in connection with pregnancy may file complaints with the NLC.

The Factories, Offices and Shops Act 1970 (Act 328) imposes additional health and safety obligations on employers to protect pregnant workers from hazardous working conditions. The Department of Factories Inspectorate, under the Ministry of Employment and Labour Relations, enforces workplace health and safety standards. Employers must risk-assess the working conditions of pregnant workers and, where necessary, adjust duties to remove exposure to hazards during pregnancy.

When Do You Need a Maternity Leave Application (Ghana)?

A Maternity Leave Application in Ghana is needed whenever a pregnant employee in the formal sector wishes to formally notify her employer of her pregnancy and request the 12 weeks of paid maternity leave to which she is entitled under Section 57 of the Labour Act 2003 (Act 651).

A Maternity Leave Application is required when an employee working for a company incorporated under the Companies Act 2019 (Act 992) and registered as an employer with SSNIT notifies her employer of her expected date of delivery and requests maternity leave. A written application confirms that the leave dates, pay entitlements, and return-to-work arrangements are documented and agreed in advance, reducing the risk of disputes before the National Labour Commission (NLC).

A Maternity Leave Application is needed by employees of the Ghana Public Service — including civil servants governed by the Civil Service Act 1993 (Act 327) — and employees of the Ghana Education Service (GES), Ghana Health Service (GHS), and other public sector institutions, who must submit formal leave applications to their head of department before commencing maternity leave.

A Maternity Leave Application is required by workers employed in factories, processing plants, or offices regulated under the Factories, Offices and Shops Act 1970 (Act 328), to enable the employer to make arrangements for risk assessment of the pregnant worker's duties and, if necessary, redeployment to a safer role during pregnancy.

A Maternity Leave Application is needed by employees of multinational companies, non-governmental organisations (NGOs), and international organisations operating in Ghana whose employment contracts are governed by Ghanaian law and incorporate the minimum standards of the Labour Act 2003 (Act 651). Employers in Ghana's extractive sector — including mining companies regulated by the Minerals Commission under the Minerals and Mining Act 2006 (Act 703) and oil and gas companies operating under licences from the Petroleum Commission — must comply with Section 57 of the Labour Act 2003 (Act 651).

A Maternity Leave Application is recommended even where an employer has a more generous maternity policy than the statutory minimum, to formally activate the leave entitlement, protect the employee's rights under the Labour Act 2003 (Act 651), and create a documented record for payroll and SSNIT contribution purposes.

Workers in Ghana's informal economy who are not covered by a formal employment contract should be aware that the Labour Act 2003 (Act 651) applies to all workers and employers in Ghana, including domestic workers, agricultural workers, and workers in the informal sector, unless expressly excluded.

What to Include in Your Maternity Leave Application (Ghana)

A Maternity Leave Application in Ghana submitted under Section 57 of the Labour Act 2003 (Act 651) must contain the following essential elements.

Employee Details: Full name of the employee, job title, department, employee number (where applicable), and the date of commencement of employment. The application should state the name of the employer, the place of work, and the employee's SSNIT member number.

Pregnancy Notification: A clear statement that the employee is pregnant and the expected date of delivery (EDD) as confirmed by a registered medical practitioner or midwife at an accredited health facility under the Ghana Health Service (GHS) or a private hospital licensed by the Food and Drugs Authority (FDA). Medical evidence of the expected delivery date — typically a letter from the attending obstetrician or midwife — should be attached.

Requested Leave Dates: The proposed maternity leave start date (which may be before the EDD) and the expected return-to-work date. Under Section 57 of the Labour Act 2003 (Act 651), the total maternity leave period is at least 12 weeks, of which at least eight weeks must be taken after delivery. The application should specify how the 12 weeks are to be apportioned before and after delivery.

Pay Entitlement: Confirmation that the employee is entitled to her full salary and benefits during the 12-week statutory maternity leave period under the Labour Act 2003 (Act 651). The employer must continue SSNIT contributions (13% employer contribution and 5.5% employee contribution) and NHIS enrollment throughout the leave period.

Handover Arrangements: A brief description of the arrangements for covering the employee's duties during maternity leave — for example, a colleague covering specific responsibilities, a temporary replacement engaged under a fixed-term contract, or a formal handover schedule.

Breastfeeding Accommodation: Under Section 57(5) of the Labour Act 2003 (Act 651), a nursing mother who has returned to work is entitled to reasonable breaks for breastfeeding. The application may include a request for the employer to designate a suitable, private, and hygienic space for breastfeeding or expressing milk at the workplace, in accordance with the ILO Maternity Protection Convention 2000 (No. 183), which Ghana has ratified.

Return-to-Work Confirmation: A statement of the employee's intention to return to work at the expiry of maternity leave, and a request that the employer confirm the employee's position, salary, and conditions of employment on return, consistent with Section 57(4) of the Labour Act 2003 (Act 651).

Forms-legal.com provides this Maternity Leave Application template as a practical tool for employees and HR practitioners in Ghana. Workers who experience maternity rights violations — including dismissal, pay reduction, or demotion connected to pregnancy — may file a complaint with the National Labour Commission (NLC) or seek advice from the Trades Union Congress (TUC) Ghana.

Additional compliance elements for a Maternity Leave Application (Ghana) used in Ghana include: Under the Labour Act 2003 (Act 651), the National Labour Commission (NLC) adjudicates workplace disputes in Ghana. Section 12 of the Labour Act 2003 requires written terms of employment. The National Pensions Act 2008 (Act 766) mandates employer contributions to the Social Security and National Insurance Trust (SSNIT). The Ghana Revenue Authority (GRA) administers PAYE under the Income Tax Act 2015 (Act 896). The Labour Division of the High Court hears employment appeals. Forms-legal.com provides this template as a starting point for Ghana-compliant documentation.

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Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Maternity Leave Application (Ghana) (Ghana) [Legal document template]. Forms Legal. https://forms-legal.com/ghana/employment/forms/maternity-leave-application-ghana

MLA

"Maternity Leave Application (Ghana) (Ghana)." Forms Legal, 2026, https://forms-legal.com/ghana/employment/forms/maternity-leave-application-ghana.

BibTeX
@misc{formslegal-maternity-leave-application-ghana,
  author       = {{Forms Legal}},
  title        = {Maternity Leave Application (Ghana) (Ghana)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/ghana/employment/forms/maternity-leave-application-ghana}},
  note         = {Free legal document template}
}

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Statute-referenced template — Template last modified June 2026

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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