I had to complete the standard leave form Plus a Stat Dec - This is what was on the Stat Dec


~~~
I __NAME__ of __ADDRESS__ do solemnly and sincerely declare that I will be the primary care giver of my child for the entire period of maternity Leave

taken:

Type of leave First Day of Leave Last Day of Leave
(e.g. Annual, long service)


Complete Detail - this is what I wrote in green
Annual Leave – All outstanding entitlement and accrual

Maternity Leave – 12 months


My spouse/partner has applied for / is applying for the following periods of Paternity Leave:

Type of leave First Day of Leave Last Day of Leave
(e.g. Annual, long service)

My husband is self employed, therefore will not be taking any Paternity Leave
DECLARATION
I hereby declare that I will not engage in any conduct inconsistent with my Contract of Employment with the Company (e.g. seek alternative employment, make improper use of any Company information, etc) during this period of Maternity Leave


Declared at: this

____ day of 2005

Signed: __________________________
(employee)

Before me: __________________________



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Hope this helps