SPL6A - Father/Partner's Declaration (Adoption) Form

Please use this online form to notify HR of your application to accompany the main adopter's notice of entitlement to take Shared Parental Leave (SPL).

Your Details

Name*
Email Address*
Name of University of Nottingham Employee*
School/Department of University of Nottingham Employee*
Name of the Child*
In submitting this form I confirm that:
  • I am the child's Father and/or married to, the civil partner or partner of the employee named above.
  • Together with the employee named above I have the main responsibility for the care of the above named child.
  • I satisfy the employment and earning criteria that allows the named employee access to SPL.
  • I consent to the employee named above taking the amount of leave set out in the SPL notice of entitlement.
  • I consent to you (the employer) processing the information contained within the declaration for the purposes of the named employee's application for SPL and in accordance with good data protection principles.

I set out below the further information I am required to give you:

My Address*

Country*

Postcode*
 

Address*


Town*

My National Insurance Number (or I can confirm I do not have a NI Number)*
File Upload - Please upload your partner's notice of entitlement to take Shared Parental Leave*

Valid upload file types: .doc .docx .pdf
The file cannot be more than 10 MB in size
Comments*
Verification*