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1. Employee Information: Basic personal and employment details including name, employee number, department, position, and contact information
2. Leave Request Details: Specific dates for the maternity leave, including expected date of childbirth/placement and intended start/end dates of leave
3. Benefits Election: Selection of benefit continuation options during leave period (pension, health, dental, etc.)
4. Employment Insurance Information: Details required for EI benefits application and top-up payments
5. Return to Work Information: Intended date of return and any special arrangements requested
6. Declaration and Signature: Employee's confirmation of information accuracy and understanding of terms
7. Management Approval: Section for supervisor/manager approval and HR processing
1. Parental Leave Extension: Optional section for employees who wish to combine maternity leave with parental leave
2. Gradual Return to Work Plan: For employees requesting modified work arrangements upon return
3. Additional Income Declaration: For employees who will receive other income during leave period
4. Union Representative Notification: Required only for unionized employees
5. Medical Certificate Details: Required only if leave starts earlier than expected due to medical reasons
1. Schedule A - Benefits Continuation Form: Detailed form for selecting which benefits to maintain during leave
2. Schedule B - Employee Checklist: Checklist of actions required before, during, and after leave
3. Schedule C - Important Contacts: List of relevant contacts including HR, benefits administrator, and EI office
4. Appendix 1 - Privacy Notice: Information about how personal information will be collected, used, and protected
5. Appendix 2 - Rights and Obligations: Summary of employee rights and obligations during maternity leave
Expected Date of Confinement
Actual Date of Birth
Leave Period
Standard Parental Benefits
Extended Parental Benefits
Top-Up Benefits
Qualifying Period
Benefit Period
Continuous Service
Insurable Earnings
Employment Insurance Benefits
Return to Work Date
Substantive Position
Acting Position
Regular Remuneration
Supplementary Allowance
Collective Agreement
Benefits Continuation
Pensionable Service
Leave Without Pay
Department
Designated Manager
Pay Centre
Service Time
Waiting Period
Employment Status
Medical Certificate
Leave Credits
Authorized Leave
Leave Duration
Notice Requirements
Benefits Continuation
Employment Insurance
Top-Up Benefits
Return to Work
Position Guarantee
Pension Contributions
Privacy Protection
Medical Certification
Benefit Elections
Salary Administration
Union Notification
Declaration of Understanding
Authorization
Documentation Requirements
Leave Modification
Contact Information
Compliance Statement
Rights Reservation
Confidentiality
Record Keeping
Verification Process
Appeal Process
Public Administration
Federal Government
Provincial Government
Crown Corporations
Public Service
Government Agencies
Regulatory Bodies
Public Safety
Healthcare Administration
Educational Administration
Human Resources
Payroll
Benefits Administration
Employee Relations
Personnel Management
Compensation
Labour Relations
HR Operations
HR Information Systems
Department Management
Human Resources Manager
HR Administrator
Benefits Coordinator
Payroll Manager
Department Manager
Supervisor
Employee Relations Specialist
HR Business Partner
Leave Administrator
Compensation Specialist
Union Representative
HR Director
Government Employee (all levels)
Public Servant
Civil Servant
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