Document text
[DATE]
[NAME OF HR MANAGER / IMMEDIATE SUPERVISOR]
[POSITION]
[COMPANY NAME]
[COMPANY ADDRESS]
Subject: Notice of my wife’s pregnancy and application for paternity leave
Dear [MR./MS. LAST NAME]:
I, [YOUR FULL NAME], [YOUR POSITION] in the [DEPARTMENT], employee no. [EMPLOYEE NUMBER], respectfully notify the company, as required by Section 2 of Republic Act No. 8187 (Paternity Leave Act of 1996), that my legitimate spouse, [WIFE’S FULL NAME], with whom I am cohabiting, is pregnant. The expected date of delivery is [EXPECTED DATE OF DELIVERY].
This will be her [FIRST / SECOND / THIRD / FOURTH] delivery.
I hereby apply for seven (7) days of paternity leave with full pay under R.A. 8187, to be taken from [FIRST DAY OF LEAVE] to [LAST DAY OF LEAVE], or on dates adjusted to the actual date of delivery, which I will confirm to you in writing.
[KEEP IF APPLICABLE:] My wife has also chosen to allocate [NUMBER, UP TO 7] days of her maternity leave benefits to me under Section 6 of Republic Act No. 11210 (105-Day Expanded Maternity Leave Law). Her written notice to her employer, [WIFE’S EMPLOYER], is attached. I understand that these days are in addition to my paternity leave.
During my leave, [NAME OF COLLEAGUE] will handle [TASKS], and I can be reached at [MOBILE NUMBER] for urgent matters.
Attached:
[Ultrasound report / medical certificate showing the expected date of delivery]
[Copy of marriage certificate]
[Wife’s written notice of allocation under R.A. 11210, if applicable]
I will submit a copy of the child’s birth certificate (or the medical certificate in case of miscarriage) after the delivery.
Thank you.
Respectfully,
______________________________
[YOUR FULL NAME]
[POSITION] · [MOBILE NUMBER] · [EMAIL]
Received by: ______________________________ Date: ____/____/________