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1. Employee and Company Details: Full name and position of the employee, company name, and relevant department/supervisor details
2. Declaration of Pregnancy: Clear statement about the pregnancy and expected due date, supported by medical verification
3. Leave Period Request: Specific dates for the intended start and end of maternity leave, totaling 16 weeks as per Dutch law
4. Current Work Status: Brief mention of current role and any immediate handover requirements
5. Legal Entitlements Reference: Reference to the Dutch Work and Care Act (WAZO) and the employee's statutory rights
1. Medical Complications: Include if there are any pregnancy-related medical conditions that may affect work or require additional arrangements
2. Handover Plan: Include if the employee has specific responsibilities that need to be transferred during the leave period
3. Return to Work Intentions: Include if the employee wants to discuss flexible return arrangements or part-time work after maternity leave
4. Additional Benefits Request: Include if the company has additional maternity benefits beyond statutory requirements that the employee wishes to apply for
1. Medical Certificate: Doctor's statement confirming pregnancy and expected due date (typically attached as supporting document)
2. Handover Document: Optional detailed document outlining work responsibilities and transition plan
3. Company Maternity Policy: Optional attachment referencing relevant company-specific maternity policies and additional benefits
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