Maternity Leave and Pay Notification (UK)
Maternity and Parental Leave Regulations 1999 / Employment Rights Act 1996 ss.71–75
1. EMPLOYEE DETAILS
Employee Name: [Employee Name]
Employee Number: [Employee Number]
Department: [Department]
Job Title: [Job Title]
To: [HR Contact Name] [HR Job Title]
Organisation: [Employer Name]
2. PREGNANCY AND EXPECTED WEEK OF CHILDBIRTH
I am writing to notify you formally of my pregnancy and my intention to take statutory maternity leave pursuant to the Employment Rights Act 1996 ss.71–75 and the Maternity and Parental Leave Regulations 1999 (SI 1999/3312).
Expected Week of Childbirth (EWC): [Expected Due Date]
MAT B1 Certificate Provided: [MAT B1 Provided]
I understand that, pursuant to reg. 4(1)(b) of the Maternity and Parental Leave Regulations 1999, I am required to provide my employer with a certificate from a registered medical practitioner or midwife stating the expected week of childbirth. Where the MAT B1 is not enclosed herewith, I undertake to provide it as soon as it is available and, in any event, no later than three weeks after the commencement of my Statutory Maternity Pay period.
3. MATERNITY LEAVE DATES
I hereby give notice of my intention to commence maternity leave on the following dates:
Intended Maternity Leave Start Date: [Intended Leave Start Date]
Earliest Possible Start Date (11 weeks before EWC): [Earliest Start Date]
Intended Return to Work Date: [Intended Return Date]
I am entitled to 26 weeks of Ordinary Maternity Leave and 26 weeks of Additional Maternity Leave under the Employment Rights Act 1996 ss.71 and 73 respectively, giving a total entitlement of up to 52 weeks. I understand that my right to return to work is protected throughout the full period of statutory maternity leave.
I acknowledge that my maternity leave may also commence automatically in certain circumstances, including if my baby is born early or if I am absent from work for a pregnancy-related reason in the four weeks before my EWC, pursuant to reg. 6 of the Maternity and Parental Leave Regulations 1999.
4. STATUTORY MATERNITY PAY (SMP) ENTITLEMENT
I believe I qualify for Statutory Maternity Pay pursuant to the Social Security Contributions and Benefits Act 1992 ss.164–171 and the Statutory Maternity Pay (General) Regulations 1986 (SI 1986/1960) on the following basis:
26 Weeks Continuous Service by Qualifying Week Confirmed: [Continuous Service Qualified]
Average Weekly Earnings (Gross): £[Average Weekly Earnings]
I understand that SMP is payable for up to 39 weeks: the first six weeks at 90% of my average weekly earnings and the remaining 33 weeks at the lower of 90% of my average weekly earnings or the standard SMP rate set by the Secretary of State for the relevant tax year. I request that you assess my SMP entitlement and confirm in writing within 28 days of receiving this notification.
If my average weekly earnings are below the Lower Earnings Limit or I do not otherwise qualify for SMP, I understand I may be entitled to Maternity Allowance administered by the Department for Work and Pensions, and I would request that you provide me with form SMP1 (Statutory Maternity Pay — where an employee is not entitled) within 7 days of that determination.
5. KEEPING IN TOUCH (KIT) DAYS
KIT Days Agreement in Principle: [KIT Days Agreed]
I understand that under reg. 12A of the Maternity and Parental Leave Regulations 1999, I may carry out up to ten days of work (Keeping in Touch days) during my maternity leave without bringing that leave to an end or losing any Statutory Maternity Pay. Any KIT days must be agreed in advance between myself and my employer on each individual occasion; neither party can compel the other to agree. Remuneration for KIT days is a matter for agreement between the parties.
6. RETURN TO WORK INTENTIONS
Current Intention: [Return Intention]
I wish to draw your attention to my statutory right to return to work under the Employment Rights Act 1996 s.71(4) and reg. 18 of the Maternity and Parental Leave Regulations 1999. If I return after Ordinary Maternity Leave, I am entitled to return to the same job on the same terms and conditions. If I return after Additional Maternity Leave, I am entitled to return to the same job or, if that is not reasonably practicable, to a suitable alternative job on terms and conditions no less favourable.
I understand I must give at least 8 weeks' notice if I wish to return to work earlier than the end of my notified maternity leave period. My intention stated above is my current intention only and does not constitute a binding obligation.
Preferred Contact During Leave: [Contact Preferences]
Personal Contact Email: [Contact Email]
7. HEALTH AND SAFETY RIGHTS
I wish to remind the employer of its obligations under the Management of Health and Safety at Work Regulations 1999 reg. 16 and the Equality Act 2010, to carry out a risk assessment in respect of new and expectant mothers upon receipt of written notification of pregnancy. I request that my employer carry out or review any existing risk assessment relating to my role and working environment, and take appropriate action to remove, reduce, or substitute any identified risks.
I am aware that the Equality Act 2010 provides protection against unfavourable treatment connected with pregnancy or maternity. Any detriment, dismissal, or redundancy selection connected with my pregnancy or maternity leave will be treated as automatic unfair dismissal and unlawful pregnancy and maternity discrimination.
8. EMPLOYEE DECLARATION
I declare that the information contained in this notification form is accurate and complete to the best of my knowledge and belief. I understand that it is my responsibility to notify my employer of any changes to my intended leave start date by giving at least 28 days' notice where reasonably practicable.
Date of Declaration: [Declaration Date]
9. EMPLOYER ACKNOWLEDGMENT
To be completed by the employer upon receipt of this notification:
I acknowledge receipt of this Maternity Leave and Pay Notification on behalf of [Employer Name]. Pursuant to reg. 7 of the Maternity and Parental Leave Regulations 1999, I confirm that [Employee Name] is entitled to return to work on or before:
Calculated End of Maternity Leave: ................................................
We will confirm SMP entitlement within 28 days of receiving this completed notification and the MAT B1 certificate. We will confirm in writing the employee's expected return date within 28 days of receiving this notification, as required by reg. 7 of the 1999 Regulations.
EMPLOYEE SIGNATURE
Name: [Employee Name]
EMPLOYER / HR REPRESENTATIVE SIGNATURE
Name: [HR Contact Name]
Organisation: [Employer Name]
Employee
________________
Signature
Date: ________________
HR Representative
________________
Signature
Date: ________________
What Is a Maternity Leave and Pay Notification (UK)?
A Maternity Leave and Pay Notification in the United Kingdom records an employment request, entitlement, or HR particular and the information the parties need to action it, and takes its legal force from the Employment Rights Act 1996.
Once proper notification has been given, a cascade of legal protections springs into force. The employer must respond in writing within 28 days, confirming the date on which the maternity leave entitlement will end — the expected return date — which is calculated as 52 weeks from the notified start date. From the date of notification, the employee cannot be selected for redundancy because of her pregnancy, subjected to any detriment related to her pregnancy or maternity leave, or dismissed for reasons connected with her pregnancy. Any such treatment is automatically unfair dismissal under the Employment Rights Act 1996 and unlawful pregnancy and maternity discrimination under the Equality Act 2010.
The notification also initiates the employer's obligation to assess the employee's SMP entitlement under the Social Security Contributions and Benefits Act 1992 ss.164–171. Statutory Maternity Pay is the minimum pay to which qualifying employees are entitled during maternity leave, regardless of what their contract of employment provides. It is paid for up to 39 weeks: the first six weeks at 90% of average weekly earnings and the remaining 33 weeks at the lesser of 90% of average weekly earnings or the standard weekly rate set by the Secretary of State.
The maternity notification form also provides a structured means of addressing Keeping in Touch days under reg. 12A, contact preferences during leave, return-to-work intentions, and the employer's health and safety obligations under the Management of Health and Safety at Work Regulations 1999 reg. 16. Completing this form thoroughly, with all required information and the correct dates, is the single most important administrative step an employee can take at the start of her maternity journey.
The legal framework governing the Maternity Leave and Pay Notification (UK) in United Kingdom draws on several key statutes and regulatory bodies. Under the Employment Rights Act 1996, the Employment Tribunal adjudicates workplace disputes. Section 94 of the Employment Rights Act 1996 provides the right not to be unfairly dismissed. The Advisory, Conciliation and Arbitration Service (ACAS) provides early conciliation under Section 18A of the Employment Tribunals Act 1996. The UK GDPR and Data Protection Act 2018 govern personal data handling. HM Revenue and Customs (HMRC) administers PAYE and National Insurance contributions under the Income Tax (Earnings and Pensions) Act 2003. Parties executing a Maternity Leave and Pay Notification (UK) in United Kingdom should confirm the document reflects current law, including any amendments enacted since the original drafting date. The Employment Rights Act 1996 sets the foundational requirements.
When Do You Need a Maternity Leave and Pay Notification (UK)?
The statutory deadline for giving maternity leave notification in England and Wales is at least 15 weeks before the expected week of childbirth. This is the key trigger date set out in reg. 4(1) of the Maternity and Parental Leave Regulations 1999. If it is not reasonably practicable to give notice 15 weeks before the EWC — for example, because the employee did not know she was pregnant until a late stage — notice must be given as soon as reasonably practicable.
The United Kingdom Maternity Leave and Pay Notification (UK) notification form is needed as soon as the pregnancy has been confirmed with a midwife or GP and the estimated due date is known. Most women give notification between weeks 16 and 25 of pregnancy, which gives them time to obtain the MAT B1 certificate (issued after week 20) and plan their leave dates. The MAT B1 is the medical certificate of expected childbirth issued by a registered midwife or GP; it is the key document required by the employer to process the SMP claim and cannot be provided before the 20th week of pregnancy.
If the baby arrives early, maternity leave may begin automatically. Under reg. 6 of the 1999 Regulations, if the employee gives birth before her intended start date, maternity leave begins on the day following the birth. Similarly, if she is absent from work for a pregnancy-related reason during the four weeks before her EWC, the employer is entitled to treat her maternity leave as having begun on the first day of that absence.
A carefully completed notification form is also needed when requesting a specific start date for leave. Under reg. 4(2) of the 1999 Regulations, the notified start date can be changed by giving the employer 28 days' notice of the new date, or less if not reasonably practicable. Having a clear written record of each notification and variation protects the employee if any dispute arises later about when leave began or ended.
Employers must give any employee on maternity leave the same consideration for promotions, pay rises, and workplace changes that they give to colleagues who remain at work. If a vacancy arises that is suitable for the employee on leave, the employer must inform them. The written notification form — along with the employer's written response — becomes the central piece of evidence in any Employment Tribunal claim if these obligations are not met.
What to Include in Your Maternity Leave and Pay Notification (UK)
A compliant Maternity Leave and Pay Notification for England and Wales must contain all of the information prescribed by reg. 4(1) of the Maternity and Parental Leave Regulations 1999: the fact of pregnancy, the expected week of childbirth, and the date on which maternity leave is to begin. In practice, a well-drafted notification form covers considerably more.
Employee identification details are the starting point: full name, employee or payroll number, department, and job title. These details confirm the notification is correctly matched to the employee's personnel file and payroll record, avoiding administrative confusion that can delay SMP processing or create disputes about entitlement.
The expected week of childbirth (EWC) is the cornerstone date from which all other dates are calculated. It is the week beginning on Sunday in which the baby is due. The 15-week notification deadline, the qualifying week for SMP purposes, the earliest possible maternity leave start date (11 weeks before the EWC), and the end of the maximum maternity leave period (52 weeks after the start) are all derived from this single date.
MAT B1 certificate confirmation is a practical necessity. Without the MAT B1, the employer cannot lawfully begin paying SMP. The form should record whether the certificate is enclosed, and if not, give a commitment to provide it promptly. Employers who receive a completed notification but not the MAT B1 must still respond within 28 days confirming expected leave end dates but may defer SMP payment until the certificate is received.
SMP eligibility information — specifically confirmation of 26 weeks' continuous service by the qualifying week and average weekly earnings above the Lower Earnings Limit — allows the employer to begin the SMP assessment without delay. Employers who determine that an employee does not qualify for SMP must issue form SMP1 within 7 days of making that decision so the employee can apply for Maternity Allowance from DWP.
Keeping in Touch day provisions under reg. 12A of the 1999 Regulations allow up to 10 days of work during maternity leave without ending the leave or losing SMP. The notification form should record whether the employee is open in principle to discussing KIT days, while making clear that neither party can unilaterally impose them.
Return-to-work intentions, while not legally binding at notification stage, are important for workforce planning. Any employee returning after Ordinary Maternity Leave (the first 26 weeks) has an absolute right to return to the same job. After Additional Maternity Leave (weeks 27–52), the right is to the same job or, if not reasonably practicable, a suitable alternative on no less favourable terms.
The employer acknowledgment section — to be completed and returned within 28 days — confirms receipt, records the calculated end date of maternity leave, and commits to the SMP assessment timeline. This written acknowledgment is required by reg. 7 of the 1999 Regulations and is the employee's primary protection against later disputes about entitlement and return dates. The forms-legal.com Maternity Leave and Pay Notification (UK) template covers the mandatory elements under Employment Rights Act 1996.
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Forms Legal. (2026). Maternity Leave and Pay Notification (UK) (United Kingdom) [Legal document template]. Forms Legal. https://forms-legal.com/uk/employment/hr-forms/maternity-leave-notification-uk
"Maternity Leave and Pay Notification (UK) (United Kingdom)." Forms Legal, 2026, https://forms-legal.com/uk/employment/hr-forms/maternity-leave-notification-uk.
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author = {{Forms Legal}},
title = {Maternity Leave and Pay Notification (UK) (United Kingdom)},
year = {2026},
howpublished = {\url{https://forms-legal.com/uk/employment/hr-forms/maternity-leave-notification-uk}},
note = {Free legal document template. Based on Employment Rights Act 1996}
}Frequently Asked Questions
Under reg. 4(1) of the Maternity and Parental Leave Regulations 1999, you must notify your employer of your pregnancy, your expected week of childbirth, and your intended leave start date at least 15 weeks before your EWC. If this is not reasonably practicable — for example because you only discovered your pregnancy at a late stage — you must give notice as soon as reasonably practicable. Your employer must respond in writing within 28 days, confirming your expected return date under reg. 7 of the 1999 Regulations. Failure to give timely notification does not remove your maternity leave entitlement, but it may delay your SMP and affect certain automatic protections. Under United Kingdom law, Employment Rights Act 1996, parties should seek independent legal advice from a qualified lawyer to confirm compliance with all applicable requirements. Under the Employment Rights Act 1996, the Employment Tribunal adjudicates workplace disputes. Section 94 of the Employment Rights Act 1996 provides the right not to be unfairly dismissed. Forms-legal.com provides this template as a starting point for United Kingdom-compliant documentation.
Under the Social Security Contributions and Benefits Act 1992 ss.164–171, SMP is payable for up to 39 weeks if you qualify. You qualify if you have been continuously employed for at least 26 weeks ending with the 15th week before your EWC (the qualifying week), and your average weekly earnings in the 8 weeks ending with the qualifying week are at or above the Lower Earnings Limit (£123 per week for 2024/25). SMP is paid at 90% of your average weekly earnings for the first 6 weeks, then at the lower of 90% of your average weekly earnings or the standard rate (£184.03 per week from April 2024) for the remaining 33 weeks. If you do not qualify for SMP, your employer must issue form SMP1 within 7 days so you can claim Maternity Allowance from DWP. Under United Kingdom law, Employment Rights Act 1996, parties should seek independent legal advice from a qualified lawyer to confirm compliance with all applicable requirements. Under the Employment Rights Act 1996, the Employment Tribunal adjudicates workplace disputes. Section 94 of the Employment Rights Act 1996 provides the right not to be unfairly dismissed. Forms-legal.com provides this template as a starting point for United Kingdom-compliant documentation.
The MAT B1 is a statutory certificate of expected childbirth issued by a registered midwife or GP. It confirms your expected week of childbirth and is the primary evidence your employer needs to process your SMP claim. Your midwife or GP can issue a MAT B1 after the 20th week of your pregnancy. You should provide it to your employer as soon as you receive it. If you cannot provide it at the time of your notification — for example, because you notified early — you must provide it no later than 3 weeks after the start of your SMP pay period. Under United Kingdom law, Employment Rights Act 1996, parties should seek independent legal advice from a qualified lawyer to confirm compliance with all applicable requirements. Under the Employment Rights Act 1996, the Employment Tribunal adjudicates workplace disputes. Section 94 of the Employment Rights Act 1996 provides the right not to be unfairly dismissed. Forms-legal.com provides this template as a starting point for United Kingdom-compliant documentation.
Yes, but the contact must be reasonable. The Maternity and Parental Leave Regulations 1999 reg. 12A contemplates that employer and employee will maintain reasonable contact during maternity leave. This includes informing you of important workplace developments, such as restructures or promotional opportunities, and discussing return-to-work arrangements. You can specify your contact preferences in your notification form. An employee cannot be penalised for not responding to excessive contact during maternity leave. The key principle is that reasonable contact does not bring the maternity leave to an end. Under United Kingdom law, Employment Rights Act 1996, parties should seek independent legal advice from a qualified lawyer to confirm compliance with all applicable requirements. Under the Employment Rights Act 1996, the Employment Tribunal adjudicates workplace disputes. Section 94 of the Employment Rights Act 1996 provides the right not to be unfairly dismissed. Forms-legal.com provides this template as a starting point for United Kingdom-compliant documentation.
You have very strong protection. Under the Equality Act 2010 ss.18 and 39, any unfavourable treatment because of your pregnancy or maternity is unlawful pregnancy and maternity discrimination. This is a separate and more protective characteristic than sex discrimination — you do not need to compare yourself to a comparator. Additionally, under the Employment Rights Act 1996 s.99, dismissal for any reason connected with pregnancy or maternity is automatically unfair, with no qualifying service period required. Under the Maternity and Parental Leave Regulations 1999 reg. 10, you are also protected against redundancy selection connected with your pregnancy or maternity, and must be offered any suitable alternative vacancy in preference to other at-risk employees. Under United Kingdom law, Employment Rights Act 1996, parties should seek independent legal advice from a qualified lawyer to confirm compliance with all applicable requirements. Under the Employment Rights Act 1996, the Employment Tribunal adjudicates workplace disputes. Section 94 of the Employment Rights Act 1996 provides the right not to be unfairly dismissed. Forms-legal.com provides this template as a starting point for United Kingdom-compliant documentation.
Under reg. 12A of the Maternity and Parental Leave Regulations 1999, you may work up to 10 Keeping in Touch (KIT) days during your maternity leave without bringing your leave to an end or losing any Statutory Maternity Pay for the weeks in which they fall. KIT days must be agreed between you and your employer on each individual occasion — neither party can compel the other to agree. You can use KIT days for training, team meetings, or ordinary work. Payment for KIT days is a matter for agreement, though many employers pay the employee's normal daily rate. Any work done on a KIT day counts as one full KIT day, regardless of how many hours you actually work. Under United Kingdom law, Employment Rights Act 1996, parties should seek independent legal advice from a qualified lawyer to confirm compliance with all applicable requirements. Under the Employment Rights Act 1996, the Employment Tribunal adjudicates workplace disputes. Section 94 of the Employment Rights Act 1996 provides the right not to be unfairly dismissed. Forms-legal.com provides this template as a starting point for United Kingdom-compliant documentation.
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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