Letter of Intent for Maternity Leave

A letter of intent for maternity leave is a letter sent by a pregnant employee to their employer, requesting time off work before and after giving birth. It informs the employer of the employee’s expected delivery date and the dates they wish to begin and end their maternity leave. 

Letter of Intent for Maternity Leave

A letter of intent for maternity leave is a letter sent by a pregnant employee to their employer, requesting time off work before and after giving birth. It informs the employer of the employee’s expected delivery date and the dates they wish to begin and end their maternity leave. 

Last updated October 14th, 2024

A letter of intent for maternity leave is a letter sent by a pregnant employee to their employer, requesting time off work before and after giving birth. It informs the employer of the employee’s expected delivery date and the dates they wish to begin and end their maternity leave. 

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What’s Included

An LOI for maternity leave will generally include the following information:

  • Introduction – The letter should begin with a salutation addressing the recipient and a brief paragraph explaining the letter’s intention.
  • Contact information – The sender’s mailing address, phone number, and email.
  • Expected delivery date – The date that a medical professional has estimated for the baby’s delivery should be included to provide justification for the requested time off.
  • Maternity leave period – The desired start date and duration of the maternity leave.
  • Job position – The employee’s job title.

How to Use

Once an individual discovers that they are pregnant, they have the right to request maternity leave. The letter of intent can be sent to their employer by hand, mail, or email. Employers may negotiate the amount of time off that will be provided and/or offer paid family leave.

Supporting Documentation

To retain their right to maternity leave, the employee will likely require the following documentation[3]:

  • Birth certificate
  • Consular report of birth abroad
  • Healthcare documentation
  • Hospital admission form for baby’s delivery
  • Adoption placement agreement/foster care placement record (if applicable)

Sample

Download: PDFWord (.docx)OpenDocument

LETTER OF INTENT
FOR MATERNITY LEAVE

Date: [DATE]

[SENDER (i.e., EMPLOYEE) NAME]
[SENDER STREET ADDRESS]
[SENDER CITY, STATE, ZIP]

[RECIPIENT (i.e., EMPLOYER) NAME]
[RECIPIENT STREET ADDRESS]
[RECIPIENT CITY, STATE, ZIP]

Dear: [EMPLOYER NAME]

I am writing to inform you that I am pregnant and intend on taking maternity leave.

My physician has estimated that the baby is expected on [DATE] and I would like to remain working until [DATE]. I plan to take [NUMBER OF WEEKS] weeks off and, barring no medical issues or complications, I anticipate no problem with resuming my current position as [POSITION TITLE] following my absence.

If you have any questions, I can be contacted via email at [EMAIL ADDRESS] or by telephone at [PHONE NUMBER]. Please inform me of any forms, doctor’s notes, or other information you require to enable this transition into my maternity.

Sincerely,

________________________

[EMPLOYEE SIGNATURE]

[SENDER PRINTED NAME]