MATERNITY LEAVE PLAN - DOC

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					                          EMPLOYEES’ ADOPTION LEAVE PLAN

You should fill in this form together with your departmental administrator. You should both
keep a copy for reference.

Telling your department when you want to take adoption leave

You must have told your departmental administrator within seven days of being matched for
adoption with a child.

      If you wish to change the date on which you will start your adoption leave you must
give your department 28 days’ notice of the new date. We would encourage you to keep
your department informed of your plans for adoption.

       The recommended notification time for advising your department of your intention to
take adoption leave is when you are approved for adopting. This will give your department
plenty of time to plan for your future leave. The most appropriate time for you to complete
this plan may be when you receive the notification of your match with a child.


How to use the plan

The plan is in three parts, and notes to help you complete it are given in the right hand
column.

You should complete Part A first. This will help you decide how much adoption leave you
can take. It will also tell you which sections of the rest of the form you need to complete. You
will find it helpful to have a calendar or diary handy when you are filling out the form.

       Part B should be used to set out when you would like to begin your adoption leave and
to record when your expected date of return to work will be (your departmental administrator
will help you work this out).

     You can use Part C if you decide to return to work before you have taken your full
adoption leave entitlement. (Part A will help you work out what your entitlement is.).




Adoption leave plan                                                             Page 1
      PART A – PLANNING ADOPTION LEAVE

TO THE DEPARTMENTAL ADMINISTRATOR

I am giving you this form to let you know that I am pregnant and to notify you, if I am eligible,
of when I want to start my adoption leave and to begin receiving adoption pay.



Personal Details

1.    Name: ………………………………                         Departmental Administrator’s name:

      Department: ………………………..                    …………………………………………..

      ……………………………………….                           ……………………………………………

When the child is expected                       Guidance notes

2.    The expected date of child placement       Expected date of child placement
is                                               2. The expected date of child placement is
                                                 the date on which the adoption agency has
……………………………………(date)                             told you that it expects the child will be
                                                 placed with you.

3.    Documentary evidence confirming this:      Documentary Evidence (which may be the
            Tick box                            matching certificate)                         Tick relevant
                                                 3. If you qualify for adoption pay and leave
a)    Has been given to you already             you must give your departmental
                                                 administrator documentary evidence stating
b)    Is enclosed with this form                the expected date of the child’s placement at
                                                 least 28 days before you wish to start your
c)    Will be given to you as soon as            leave and pay. The documentary evidence,
      possible                                  which you will receive from the adoption
                                                 agency can be used. (Answering questions
                                                 5-7 will help you decide if you qualify for
                                                 adoption pay and leave.)




Adoption leave plan                                                              Page 2
Qualifying for the University’s adoption            Guidance notes
scheme
                                                    Filling in this section of the form will enable
                                                    you and your administrator to see if you
                                                    qualify for the University adoption scheme
                                                    and statutory pay


4.     The date that I was matched with a
child for adoption was:                             4 All employees who have 26 weeks’
                                                    continuous service as at the week that they
………………………………..(date)                                are matched with a child for adoption can
                                                    take 52 weeks’ adoption leave under the
                                                    University scheme.
5.    On this date I will have worked for the
university continuously for at least 26 weeks

Yes              tick box (go to part B)           5 Your length of employment usually runs
                                                    from the first day you started work with the
     or                                             University of Oxford to the present day. If
                                                    there are any gaps in your employment
No               tick box (see box below)          speak to your departmental administrator.



If you have ticked ‘No’ above then you do not qualify for the University Adoption Scheme.
However, you may still be able to claim Statutory Allowances and your departmental
administrator will advise you on this.



PART B – ADOPTION LEAVE

Complete this section regardless of whether you qualify for the University’s adoption scheme
of not.

Starting adoption leave                             Guidance notes

6.        I intend to start my adoption leave on:   6. Start date
                                                    It is your decision when you start your
……………………………………(date)                                adoption leave, but you cannot start it earlier
                                                    than 14 days before the expected date of
(NB this can be any day of the week)                placement of your child. You should notify
                                                    your departmental administrator of your
                                                    intended start date as soon as you receive
                                                    notification from your adoption agency. If you
                                                    wish to change this date you must give your
                                                    departmental administrator at least 28 days’
                                                    notice of when you want to start your
                                                    adoption leave unless this is not reasonably
                                                    practicable.




Adoption leave plan                                                                 Page 3
Returning after adoption leave                 End of adoption leave

7.     My adoption leave entitlement will      7. This is the end of the 52nd week from
finish on:                                     when you start your adoption leave. For
                                               example, if you started your adoption leave
…………………………………….(date)                          on a Wednesday, the last day will be
                                               Tuesday 52 weeks later. Your departmental
                                               administrator will help you calculate this
                                               date.

8.   Return date: complete either A or B
below.                                         8. If you qualify, the University Scheme
                                               offers:
A      I would like to take my full 52 weeks   - 26 weeks on full-pay, plus
entitlement and I am due back to work on:      - 13 weeks Statutory Adoption Pay, plus
                                               - 13 weeks unpaid leave.
……………………………………..(date)                         It is your decision how much of this leave
                                               you wish to take.


B      I have already decided not to take my
full 52 weeks entitlement and will return to   You may already know that you wish to take
work on:                                       all or only some of your leave entitlement
                                               and should state your current wish by
……………………………………..(date)                         completing either 8A or 8B as appropriate.




I understand that if I want to change this
date, I must give you 8 weeks’ notice of the
date on which I want to return.                Changing your mind: If you change your
                                               mind about the date that you want to return
                                               to work you must give your departmental
                                               administrator at least 8 weeks’ notice before
                                               your intended return date. You can use Part
                                               C of this form for this purpose.




Adoption leave plan                                                          Page 4
9. Contact during adoption leave                  Guidance notes

I would like to be told about changes             You and your department may make
happening at work during my adoption leave        reasonable contact during your adoption
                                                  leave. Keeping in touch with work in this
YES                                              way can help to make it easier when it is
                                                  time to return as you will be aware of what
NO                                               has been going on in your department. Even
                                                  if you choose not to be told about changes
If yes, I would prefer to be contacted by:        happening at work during your adoption
                                                  leave, your departmental administrator will
                                                  still contact you about any matters relating to
                                                  your employment
…………………………………………….

(e.g. phone, email, etc)

If you do not mind how your department
contacts you please tick here          




10. Keeping in Touch (KIT) days

Would you like the opportunity to work,           10. As well as staying in contact with your
attend a particular event or take up a training   department during your adoption leave, if
opportunity during your adoption leave?           you and your department both agree, you
                                                  can undertake up to 10 days’ work during
YES                                              your adoption leave. These are known as
                                                  Keeping in Touch (KIT) days. They are not
NO                                               limited to your usual job and could be used
                                                  for training or other events.
If so, you can agree with your department to      This work can only take place by agreement
consider up to a maximum of 10 days’ work         between both the department and the
on KIT days during your adoption leave.           employee. A department may not require an
                                                  employee to work during adoption leave, and
                                                  the employee cannot be penalised for
                                                  refusing to take up a KIT day. Similarly, an
                                                  employee does not have a right to work KIT
                                                  days if the department doesn’t agree to
                                                  them. If you and your department agree that
                                                  you will work some KIT days then you should
                                                  agree in advance including what you will be
                                                  doing and how you will be paid.




Adoption leave plan                                                             Page 5
Adoption plan signature page

You have now completed all the parts of the form necessary before starting your
adoption leave. You should now sign the form and give it to your departmental
administrator. Don’t forget to keep a copy of it for yourself.

IMPORTANT NOTICE

In signing this form, you confirm that:

   -   your attention has been drawn to the right of the University to reclaim the
       whole or part of the non-statutory element of adoption pay if you fail to return
       to work after your adoption leave and continue in employment for at least 3
       months following your return.

   -   you understand that if your contract of employment is due to terminate during
       your adoptionleave, your entitlement to benefits under the University's
       contractual schemes will end on the contract end date. However, you will
       continue to be paid any remaining statutory adoption pay to which you are
       eligible. Your contract of employment will not automatically be extended
       because you are on adoption leave.




Signed: ………………………………………………………….



Full Name…………..…………………………………………..



Date: …………………………………………………………….




Adoption leave plan                                                      Page 6
PART C – RETURNING TO WORK EARLY

You will be expected back at the end of your adoption leave, on the date that you have
specified in part 9 of the Adoption leave plan.

If you want to return earlier or later than this date (the maximum entitlement is 52 weeks)
you must give your departmental administrator at least 8 weeks’ notice of this change.

If you do not give 8 weeks’ notice your departmental administrator is entitled to postpone
your return until 8 weeks’ notice has expired.

TO: The Departmental Administrator

      Department:………………………………



Changing your notified return to work           Guidance notes
date
                                                Complete this section only if you want to
I would like to change my return to work        return to work early.
date, and now intend to return to work on:
                                                Compulsory adoption leave
                                                The law requires that all women take two
                                                weeks adoption leave immediately after the
      ………………………(date)                           birth of their baby. Your departmental
                                                administrator cannot let you return before
                                                your compulsory adoption leave period is up.



You should sign the form now and send it to your departmental administrator. Don’t
forget to keep a copy of it for yourself.

You should talk to your department in good time if you want to try to agree a different
working pattern to the one you worked before your adoption leave.



Signed: …………………………………………………….

Full Name:…………………………………………………

Date: ……………………………………………………….




Adoption leave plan                                                            Page 7

				
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