Shared Parental Leave Form

Updated 17 October 2025

This document provides a comprehensive set of forms for employees to manage Shared Parental Leave (SPL) and Statutory Maternity Pay (SMP). It includes forms for a mother or birth parent to curtail maternity leave and pay, and notifications for both the mother/birth parent and their partner to declare their intention to take SPL and Shared Parental Pay (ShPP). The forms cater to scenarios where both parents take SPL, or where only one parent does.

Shared Parental Leave forms (Maternity)

 

Forms below that need to be completed if…

 

both parents want to take SPL

just the mother or birth parent wants to take SPL

just the partner wants to take SPL

Form 1

Yes

Yes

Yes

Form 2

Yes

Yes

No

Form 3

No

No

Yes

Form 4

Yes

No

Yes

 

Abbreviations used in these forms:

Form 1: Curtailment of maternity leave and pay (for mother or birth parent's employer – must be completed by mother or birth parent)

 

SECTION A:
General (must be completed)

Please accept this as my notice to curtail my maternity leave and/or Statutory Maternity Pay (SMP). This form is accompanied by notification that either I or my partner intend to take SPL and/or ShPP.

I understand my maternity leave will end on the date given in Section B and my SMP will end on the date given in Section C. I understand that I can only reinstate my maternity leave if I revoke this notice before the curtailment date given in Section B.

I understand that I can only reinstate any SMP that I am eligible for if I revoke this notice before the end date given in Section C.

Mother or birth parent’s last name

 [surname]

Mother or birth parent’s first name(s)

 [name]

Expected date of child’s birth

 [date]

Actual date of child’s birth (if born)

 [date]

SECTION B:
Curtailing maternity leave (must be completed)

Start date of statutory maternity leave

 [date]

End date of statutory maternity leave

 [date]

Total number of weeks of statutory maternity leave taken by the date statutory maternity leave ends

 [number]

SECTION C:
Curtailing statutory maternity pay (SMP) (only if claiming ShPP)

Start date of SMP

 [date]

End date of SMP

 [date]

Total number of weeks of SMP paid by date SMP ends

 [number]

SECTION D:
Signature (must be completed)

Signature of mother or birth parent

 [signature]

Date signed

 [date signed]

 

Form 2: Notification that mother or birth parent is intending to take SPL (for their employer)

 

SECTION A:
General (must be completed)

Please accept this as notification that I (the mother or birth parent) am entitled to and intend to take SPL (and ShPP if section C is completed).

Mother or birth parent’s last name

 [surname]

Mother or birth parent’s first name(s)

 [name]

Partner’s last name

 [surname]

Partner’s first name(s)

 [name]

Partner’s address

 [address]

Partner’s National Insurance number (put ‘none’ if no number is held)

 [number]

Expected date of child’s birth

 [date]

Actual date of child’s birth (if child not yet born, provide this as soon as possible after the birth and before taking SPL)

 [date]

SECTION B:
Maternity entitlement details (all answers that apply must be completed)

Start date of statutory maternity leave

 [date]

End date of statutory maternity leave

 [date]

Total number of weeks of statutory maternity leave that will have been taken at the date statutory maternity leave ends

 [number]

Start date of SMP or MA

 [date]

End date of SMP or MA

 [date]

Total number of weeks SMP or MA has been paid or will have been paid at date of curtailment

 [number]

Total number of weeks by which SMP or MA will be reduced (39 weeks less total number of weeks SMP or MA has been paid or will have been paid at date of curtailment)

 [number]

SECTION C:
Amount of SPL available (must be completed)

Total number of weeks of SPL created (52 weeks less total number of maternity weeks taken and any SPL from a previous notice and revocation)

 [number]

Total number of weeks of SPL I (the mother or birth parent) intend to take

 [number]

Total number of weeks of SPL my partner intends to take

 [number]

SECTION D:
Mother or birth parent’s leave plans (must be completed but is not binding)

I (the mother or birth parent) currently expect to take SPL as follows:

SECTION E:
Amount of ShPP available (only if claiming ShPP)

Total number of weeks of ShPP created (39 weeks less total number of SMP taken and any ShPP paid from a previous notice and revocation)

 [number]

Total number of weeks of ShPP I (the mother or birth parent) intend to take

 [number]

Total number of weeks of ShPP my partner intends to take

 [number]

I (the mother or birth parent) currently expect to take ShPP as follows:

SECTION F:
Mother or birth parent's declaration (must be completed)

The following points apply in all circumstances where a mother or birth parent is entitled to maternity leave:

Signature of mother or birth parent

 [signature]

Date signed

 [date signed]

SECTION G:
Partner’s declaration (must be completed)

·        I am the father of the child, or at the date of the birth I was (or will be) the mother or birth parent’s spouse, the mother or birth parent’s civil partner and/or the mother or birth parent’s partner living with her and the child in an enduring relationship

Signature of partner

 [signature of partner]

Date signed

 [date signed]

\ Form 3: Notice confirming that partner is taking SPL but mother or birth parent is not (for mother or birth parent’s employer)

 

SECTION A:
General (must be completed)

Please accept this as notification that I (the mother or birth parent) do not intend to take SPL (or ShPP where relevant) but that my partner will be.

Mother or birth parent’s last name

 [surname]

Mother or birth parent’s first name(s)

 [name]

SECTION B:
Confirmation

I am either not entitled to SPL (or ShPP, where relevant), or I do not intend to take SPL (or claim ShPP, where relevant)

SECTION C:
Signature (must be completed)

Signature of mother or birth parent

 [signature]

Date signed

 [date signed]


\ Form 4: Notification that partner is intending to take SPL (for partner’s employer)

 

SECTION A:
General (must be completed)

Please accept this as notification that I (the partner) am entitled to and intend to take SPL (and ShPP if section C is completed).

Partner’s last name

 [surname]

Partner’s first name(s)

 [name]

Mother or birth parent’s surname

 [surname]

Mother or birth parent’s first name(s)

 [name]

Mother or birth parent’s address

 [address]

Mother or birth parent’s National Insurance number (put ‘none’ if no number is held)

 [number]

Expected date of child’s birth

 [date]

Actual date of child’s birth (if child not yet born I will provide this information as soon as reasonably practicable following birth and before I take any SPL)

[date] 

SECTION B:
Maternity entitlement details (all answers that apply must be completed)

Start date of mother or birth parent’s maternity leave (if applicable)

 [date]

End date of mother or birth parent’s maternity leave (if applicable)

[date] 

Total number of weeks of maternity leave taken (or that will be taken) when maternity leave ends

 [number]

Start date of SMP or MA (if applicable)

 [date]

End date of SMP or MA (if applicable)

 [date]

Total number of weeks SMP or MA has been paid or will have been paid at date of curtailment

 [number]

Total number of weeks SMP or MA will be reduced by (39 weeks less total number of weeks SMP or MA has been paid or will have been paid at date of curtailment)

 [number]

 

SECTION C:
Amount of SPL available (must be completed)

The total number of weeks of SPL created depends on the mother or birth parent’s leave and pay entitlements.

Total number of weeks of SPL created (50 max)

 [number]

Total number of weeks of SPL I (the partner) intend to take

 [number]

Total number of weeks of SPL the mother or birth parent intends to take (if applicable)

 [number]

SECTION D:

I (the partner) currently expect to take SPL as follows:

SECTION E:
Amount of ShPP available (only if claiming ShPP)

Total number of weeks of ShPP created (39 weeks less total number of SMP/MA taken and any ShPP paid from a previous notice and revocation)

 [number]

Total number of weeks of ShPP I (the partner) intend to take

 [number]

Total number of weeks of ShPP the mother or birth parent intends to take

[number]

I (the partner) currently expect to take ShPP as follows:

 

SECTION F:
Partner’s declaration (must be completed)

The following points apply in all circumstances:

Signature of partner

 [signature of partner]

Date partner signed

 [date partner signed]

 

SECTION G:
Mother or birth parent’s declaration (must be completed)

The following points apply in all circumstances:

Signature

 [signature]

Date signed

 [date signed]

 

About this template

What is this template?

Shared Parental Leave Form is a free, ready-to-use Employment template you can open, customize, and download on GitLaw. It gives you a professionally structured starting point, so you never have to draft from a blank page. The wording is plain and modern, organized into clear sections that are easy to read, edit, and adapt to your own situation before you share or sign it.

When should you use it?

Reach for this Employment template whenever you need a reliable agreement quickly and want to be sure the essentials are covered. It suits individuals, freelancers, startups, and established businesses alike. Instead of paying for a document drafted from scratch, you can start here, tailor the details to your arrangement, and have a polished draft ready in minutes. This version is drafted with England & Wales in mind, though you should always review the final wording against the laws that apply to you.

What's typically included?

A well-drafted Employment usually sets out the parties involved, the scope of the agreement, and each side's rights and responsibilities. Expect sections covering key terms and definitions, how long the agreement lasts, how it can be ended, and what happens if something goes wrong. This template brings those building blocks together in a sensible order, so you can focus on the specifics rather than worrying about what to include. Open it to read the full document, then sign up to edit, negotiate, and e-sign it directly in GitLaw.

Jurisdiction
England & Wales
Document info
HTML document. Document created on Tue Jul 15th, 2025. Last updated on Fri Oct 17th, 2025.
This document is public
Licensed under CC BY 4.0 (Attribution).
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