notification of adoption leave form

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NOTIFICATION OF ADOPTION LEAVE FORM NAME:

DATE: /

I WOULD LIKE TO START MY ADOPTION LEAVE ON: /

MY EXPECTED PLACEMENT DATE IS:

/

I WANT TO TAKE MY MATCHING CERTIFICATE IS ATTACHED

/

/

/

DAYS HOLIDAY DIRECTLY BEFORE MY ADOPTION LEAVE TICK

NO. BANK HOLIDAYS WORKED THIS HOLIDAY YEAR =

WILL BE PROVIDED SHORTLY HAS ALREADY BEEN PROVIDED TO (NAME)

I’M HAPPY FOR MY MANAGER TO CONTACT ME WHILE I’M AWAY BY: DETAILS

TICK

MONTHLY EMAIL MONTHLY PHONE CALL QUARTERLY EMAIL QUARTERLY PHONE CALL I WOULD LIKE TO BE UPDATED ABOUT

SIGNATURE

1