Official form guide
A template letter for employees to request an extension of unpaid parental leave beyond the first 12 months, up to a maximum of 24 months from the child’s birth or placement.
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Form Overview
A template letter for employees to request an extension of unpaid parental leave beyond the first 12 months, up to a maximum of 24 months from the child’s birth or placement.
Plain English
If you’ve already taken a year of unpaid parental leave and want more time off, you can use this letter to ask your boss for up to another 12 months. Fill in your dates, sign it, and give it to your employer before your current leave ends.
Submission Date
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You need a change within the first 12 months
Only covers variations before the 12‑month mark
✓ Verify your leave period is still within the first 12 months
Request to vary unpaid parental leave within initial 12 months template
You have taken less than 12 months of leave and want more time before the 12‑month point
Same as above – extension template not allowed
✓ Check your current leave length
Request to vary unpaid parental leave within initial 12 months template
Your initial 12‑month leave has ended and you have returned to work
Employer cannot grant an extension after return
✓ Confirm you have not resumed duties
No extension form – you are not eligible for further unpaid parental leave
Employer refuses your extension request
Formal dispute process, not a new template
✓ Ensure you have attempted workplace discussion first
Dispute resolution via Fair Work Commission
Give your employer the request at least 4 weeks before the end of your initial 12‑month unpaid parental leave; the employer must respond within 21 days.
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 the extension template when still within the first 12 months – the wrong form.
Submitting the request after the initial 12‑month period has ended.
Failing to give the required 4‑week notice before the original leave ends.
Proposing a return date that exceeds the 24‑month total limit.
Leaving red placeholders or purple notes in the final letter.
Not requesting a written response within the statutory 21‑day period.
Assuming the template guarantees approval.
Source transparency
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