Maternity / Adoption Leave Return	CHRIS/61
This form is to be used by employees returning from maternity leave or adoption leave. Information on the University’s maternity leave and adoption leave policies are available on the HR website at the following addresses:
Maternity leave: http://www.admin.cam.ac.uk/offices/hr/policy/maternity/ 
Adoption leave: http://www.admin.cam.ac.uk/offices/hr/policy/adoption/ 

The University has procedures for individuals who wish to make a graduated return from maternity / adoption leave, or who wish to apply to work flexibly or part-time. Details of these policies are available on the HR website: 
Graduated return: http://www.admin.cam.ac.uk/offices/hr/policy/leave/return.html 
Flexible working: http://www.admin.cam.ac.uk/offices/hr/policy/flexible/ 

PART 1 – Details of Return 
To be completed by the employee
Section A – Personal details
These questions must all be answered. Your personal reference number can be found on your payslip.

Correspondence will be sent to your home address during your leave. Please use Employee Self Service to check that your address is correct, or enter your address in question 4.	1. Full Name	

2. Personal Reference Number	

3. Faculty / Department 	

4. Home address	

	
Section B – Leave details
	5. Date of birth / placement of child (dd/mm/yyyy)	

6. Date of return from maternity / adoption leave	

	

Signed								Date						

Now send this form to your Departmental Administrator. 

PART 2 – Departmental Acknowledgement
To be completed by the institution concerned

This form is for information. If the employee wishes to make a graduated return or to work flexibly, you will need to notify HR of the agreed working arrangements.

Signed								Name						

Position								Date						

Telephone						

This form should now be posted or emailed to your HR School Team Administrator at the relevant address:

Old Schools		Addenbrooke’s Hospital	
School of Arts & Humanities		School of Clinical Medicine	
School of the Biological Sciences			
School of the Humanities & Social Sciences			
School of the Physical Sciences			
School of Technology			
UAS			
Non-School Institutions