AUFAIR WORK OMBUDSMANEmployment Templates

Official form guide

Form employee checklist for unpaid parental leave cls: Employee checklist for unpaid parental leave cls

The Employee checklist for unpaid parental leave (CLS) is a Fair Work Ombudsman tool that helps employees track the steps they must take when applying for unpaid parental leave under the National Employment Standards. Use it before you start any period of unpaid parental leave.

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Form Overview

Fair Work Ombudsman Form employee checklist for unpaid parental leave cls - Employee checklist for unpaid parental leave cls

The Employee checklist for unpaid parental leave (CLS) is a Fair Work Ombudsman tool that helps employees track the steps they must take when applying for unpaid parental leave under the National Employment Standards. Use it before you start any period of unpaid parental leave.

It records your written notice, start and end dates, the number of flexible unpaid days you want, and any supporting evidence or variation requests.

Risk Radar

Scan points
  • 1Missing the 10‑week written notice can force you onto leave earlier than planned.
  • 2Failing to give the 10‑week written notice
  • 3Not providing required birth or adoption evidence when asked
  • 4Changing start/end dates without 4‑week written notice
  • 5Attempting to vary or extend leave without using the correct template

Plain English

It’s a simple list you and your boss can follow to make sure you’ve given the right notice, provided any birth or adoption proof, and talked about paid leave options. Follow the checklist so your leave runs smoothly.

Submission Date

  • Filing date: Give written notice at least 10 weeks before the leave starts (or as soon as possible) and reconfirm dates at least 4 weeks before the start or any change.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

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What this form is for

  • When you need to give written notice of unpaid parental leave.
  • When you want to track steps for flexible unpaid parental leave.
  • When you plan to vary, pause or extend the original unpaid leave period.
  • When you must provide evidence of birth, adoption or medical fitness.
  • When you need to discuss paid leave entitlements with your employer.

Form selector

Use this form or another form?

Applying for Government-funded Parental Leave Pay

Determines eligibility for paid government support

✓ Verify your employment status first

Services Australia Parental Leave Pay form

Requesting paid parental leave from employer

Covers annual or long service leave used during unpaid period

✓ Check your accrued leave balances

Employer’s paid parental leave policy

Extending unpaid parental leave beyond 12 months

Requires employer agreement and separate notice

✓ Confirm extension limits before submitting

Request to extend unpaid parental leave template (fairwork.gov.au)

Changing work duties due to pregnancy health risks

Employer may direct you to take leave if unsafe

✓ Obtain doctor’s assessment early

Medical certificate request form

Deadline or filing window

Written notice: ≥ 10 weeks before leave starts (or as soon as possible). Confirmation or changes: ≥ 4 weeks before the intended start or any variation.

Before you submit

  1. 1Write notice that includes start and end dates for continuous unpaid leave.
  2. 2State total days of flexible unpaid leave you intend to take.
  3. 3Attach medical certificate or statutory declaration for expected birth or adoption if requested.
  4. 4Confirm discussion with employer about any paid leave or Parental Leave Pay.
  5. 5Provide confirmation of specific flexible leave days at least 4 weeks ahead.
  6. 6If varying leave within 12 months, give written notice 4 weeks before original end date.
  7. 7If pausing leave for hospitalisation, get employer agreement and evidence ready.
  8. 8Use the Giving notice for taking unpaid parental leave template from fairwork.gov.au.
  9. 9Keep a copy of all communications for your records.

How to file this form

  1. 1Draft written notice with start/end dates and flexible leave days.
  2. 2Complete the Giving notice template from fairwork.gov.au.
  3. 3Attach any required evidence (medical certificate, statutory declaration).
  4. 4Submit the notice to your employer (email or written copy).
  5. 5Discuss any paid leave or Parental Leave Pay entitlements.
  6. 6Confirm employer receipt and agreement in writing.

Known limitations

  1. 1Checklist is a guidance tool, not a legal contract.
  2. 2Employer must agree to flexible or paused leave; otherwise notice may be refused.
  3. 3Only covers unpaid parental leave under the NES, not other types of leave.
  4. 4Extensions beyond 12 months need a separate template and employer approval.
  5. 5Not confirmed in official source: exact format of the written notice.

Field map

Compact field-by-field guide

7 fields

Applicant

1 items

Applicant Name and Contact

Full name (and representative, if any), postal address, email, and phone number of the person or organisation lodging the application.

Requiredtext

Respondent

1 items

Respondent / Employer Details

The exact legal name and ABN of the employer or other party the application is made against.

Requiredtext

The Matter

2 items

Type of Application

Identify the kind of matter — for example, unfair dismissal, general protections, or an agreement application.

Requiredselect
Details of the Dispute

A clear description of what happened, relevant dates, and the outcome you are seeking.

Requiredtext

Dates

1 items

Key Dates

Relevant dates such as the date of dismissal or the date the issue arose — these determine whether you are within time.

Requireddate

Supporting

1 items

Attachments

Any documents that support your application, such as letters, contracts, or notices.

text

Declaration

1 items

Signature and Date

Sign and date the form. Applications may also require a fee or an application for a fee waiver.

Requiredsignature
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Current form status
FAIR_WORK_OMBUDSMAN

The checklist is the latest version published by the Fair Work Ombudsman and is still current for unpaid parental leave under the NES.

What changed or needs a fresh check

  • Notice period of at least 10 weeks before start date.
  • Flexible unpaid leave notice must be given at least 4 weeks before the specific day(s).
  • Template links for giving notice, varying leave and extending leave are referenced.
  • Requirement to discuss any paid leave or payments after notifying employer.
  • Requirement to provide evidence of birth/adoption or medical fitness if asked.

Quick Facts

Any employee who is planning to take unpaid parental leave should use this checklist.
It records your written notice, start and end dates, the number of flexible unpaid days you want, and any supporting evidence or variation requests.
Give written notice at least 10 weeks before the leave starts (or as soon as possible) and reconfirm dates at least 4 weeks before the start or any change.
Send the completed notice and any supporting documents to your employer, using the templates available on fairwork.gov.au/templates.
If you miss the notice periods, your employer can direct you to start leave early or you may lose access to paid parental‑leave benefits.
1. Download the “Giving notice for taking unpaid parental leave” template from fairwork.gov.au/templates. 2. Fill in the start and end dates and the total flexible days you intend to use. 3. Attach a medical certificate or statutory declaration if your employer asks for proof of birth or adoption. 4. Give the notice to your employer at least 10 weeks before the leave starts. 5. Four weeks before the start, confirm the dates or any changes. 6. If you need to vary, pause, or extend the leave, provide written notice using the appropriate template at least 4 weeks before the relevant date.

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Sources

  • SRCNotice period: at least 10 weeks before start (p.1).
  • SRCNotice must include start/end dates and total flexible days (p.1).
  • SRCFlexible notice can be given later if employer agrees (p.1).
  • SRCEvidence of birth/adoption may be requested (p.1).
  • SRCDiscussion about paid leave after notifying (p.1).
  • SRCConfirm start/end dates at least 4 weeks before leave (p.1).
  • SRCMedical certificate may be required for work within 6 weeks of birth (p.2).
  • SRCFlexible unpaid leave confirmation needed 4 weeks before specific day(s) (p.2).
  • SRCVarying leave within 12 months requires 4‑week notice (p.2).
  • SRCPausing leave due to hospitalisation requires employer agreement and evidence (p.2).

Common confusion points

Mixing up the 10‑week notice for continuous leave with the 4‑week notice for flexible days.

Assuming flexible leave can be taken without employer agreement.

Thinking a medical certificate is always required; it is only if employer asks.

Believing you can vary leave after the first 12 months without a new template.

Not providing evidence of birth or adoption when requested.

Assuming the checklist replaces the formal notice template.

Unclear whether pausing leave counts against the 12‑month entitlement.

Not confirming employer’s response in writing.

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