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1. Employee Information: Employee's full name, position, department, and employee ID number
2. Formal Notice Statement: Clear statement of intention to take maternity leave
3. Pregnancy Details: Expected date of delivery and supporting medical certificate reference
4. Leave Duration: Specific start and end dates of the requested maternity leave period
5. Leave Benefits Request: Reference to entitlement under RA 11210 and request for corresponding benefits
6. Return to Work Date: Expected date of return to work after the maternity leave period
7. Handover Information: Brief outline of work responsibilities and handover arrangements
8. Contact Information: Employee's contact details during the leave period
1. Additional Leave Credits: Request for additional leave credits for cases of medical complications
2. Single Parent Declaration: Statement claiming additional 15 days leave entitlement for single mothers under RA 11210
3. Leave Allocation Preference: If applicable, indication of desire to allocate 7 days to the child's father or alternate caregiver
4. Special Circumstances: Any special circumstances such as multiple pregnancies or high-risk conditions that may affect the leave arrangement
5. Work From Home Request: If applicable, request for work-from-home arrangements before or after the maternity leave
1. Medical Certificate: Official medical certificate confirming pregnancy and expected date of delivery
2. SSS Maternity Notification: Copy of SSS maternity notification form (for private sector employees)
3. Civil Status Documents: Relevant documents proving civil status (especially important for single parent claims)
4. Work Handover Document: Detailed document outlining current projects and responsibilities to be handed over
5. Previous Maternity Leave History: If applicable, record of previous maternity leave taken within the last 3 years
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