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Maternity Return To Work Form Template for England and Wales

A formal document used in England and Wales to facilitate and document an employee's return to work following maternity leave. The form ensures compliance with UK employment law and captures essential information about the return arrangements, including confirmed return date, working patterns, any workplace adjustments required, and health and safety considerations. It serves as a written record of agreed arrangements between the employer and the returning employee.

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What is a Maternity Return To Work Form?

The Maternity Return To Work Form is a crucial document used in England and Wales to manage the transition of employees returning from maternity leave. It helps ensure compliance with UK employment legislation, including the Employment Rights Act 1996 and Equality Act 2010. The form should be completed before the employee's return and includes key information such as return date, working arrangements, any flexible working requests, and necessary workplace adjustments. It serves as both a planning tool and a formal record of the agreed return arrangements, protecting both employer and employee interests.

What sections should be included in a Maternity Return To Work Form?

1. Personal Information: Employee details including name, employee number, department, job title and contact information

2. Return Date Information: Confirmation of maternity leave end date and intended return to work date

3. Working Pattern Details: Confirmation of working hours, days and location upon return

4. Health and Safety Declaration: Confirmation of any health and safety considerations or workplace adjustments needed

5. Confirmation and Signatures: Declaration section for employee and manager signatures, including date of completion

What sections are optional to include in a Maternity Return To Work Form?

1. Flexible Working Request: Section for detailing proposed changes to previous working pattern, including hours, days, or location

2. Breastfeeding Arrangements: Details of required facilities and breaks for nursing mothers returning to work

3. KIT Days Record: Documentation of Keep in Touch days used during maternity leave and any payment due

What schedules should be included in a Maternity Return To Work Form?

1. Schedule 1 - Risk Assessment Form: Detailed workplace risk assessment for returning mother

2. Schedule 2 - Flexible Working Application: Formal flexible working request form if changes to working pattern are requested

3. Schedule 3 - Return to Work Checklist: Comprehensive checklist for managers to ensure all return to work requirements are addressed

Authors

Alex Denne

Head of Growth (Open Source Law) @ Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

England and Wales

Publisher

Ƶ

Document Type

Return to Work Form

Cost

Free to use

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