Official form guide
This is a template letter for employers to refuse a request to extend unpaid parental leave beyond the first 12 months. Use it after you have considered the request and decided to refuse.
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Form Overview
This is a template letter for employers to refuse a request to extend unpaid parental leave beyond the first 12 months. Use it after you have considered the request and decided to refuse.
Plain English
If an employee asks for more than a year of unpaid parental leave and you need to say no, this letter helps you write a proper response that meets the law. It guides you on what to include and how to keep it clear and fair.
Submission Date
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Form selector
Employee requests extension within first 12 months
Different response rules apply
✓ Verify request timing before using this form
Extension request within 12 months template
Employer wants to approve the extension
Approval requires a different letter
✓ Use the approval template, not this refusal one
Approval of extension of parental leave template
Award or enterprise agreement provides better leave terms
Those terms override the NES template
✓ Confirm award or agreement details first
Follow award/agreement provisions
Dispute escalates to Fair Work Commission
The letter must include contact details for dispute resolution
✓ Ensure dispute contact info is correct
No new form – follow dispute resolution process outlined in this letter
Respond within 21 days of the employee’s written request. The request itself must be submitted at least 4 weeks before the end of the initial 12‑month leave.
Field map
Applicant
1 items
Full name (and representative, if any), postal address, email, and phone number of the person or organisation lodging the application.
Respondent
1 items
The exact legal name and ABN of the employer or other party the application is made against.
The Matter
2 items
Identify the kind of matter — for example, unfair dismissal, general protections, or an agreement application.
A clear description of what happened, relevant dates, and the outcome you are seeking.
Dates
1 items
Relevant dates such as the date of dismissal or the date the issue arose — these determine whether you are within time.
Supporting
1 items
Any documents that support your application, such as letters, contracts, or notices.
Declaration
1 items
Sign and date the form. Applications may also require a fee or an application for a fee waiver.
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Fillable formOpen in Editor->The template was last updated in July 2023. Use the latest version from fairwork.gov.au/templates.
Quick Facts
Using this refusal template to approve an extension request.
Missing the 21‑day deadline for the written response.
Leaving the ‘alternative extension period’ field blank when an alternative is possible.
Failing to check whether an award or agreement provides more generous leave.
Omitting the dispute‑resolution contact details.
Not printing the letter on business letterhead when required.
Sending the letter to the wrong address or email.
Assuming the template automatically satisfies legal obligations without checking business grounds.
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