AUFAIR WORK OMBUDSMANEmployment Templates

Official form guide

Form sts request to extend unpaid parental leave beyond initial 1: Sts request to extend unpaid parental leave beyond initial 12 months template letter

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

Fair Work Ombudsman Form sts request to extend unpaid parental leave beyond initial 1 - Sts request to extend unpaid parental leave beyond initial 12 months template letter

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.

The letter records your original leave dates, the new proposed return‑to‑work date, the additional weeks or days you’re asking for, and the total leave period (not to exceed 24 months).

Risk Radar

Scan points
  • 1Submitting the request later than 4 weeks before your current leave ends can forfeit your extension right.
  • 2Using the wrong template (e.g., for variations within the first 12 months).
  • 3Sending the request after the 4‑week notice period.
  • 4Failing to receive a written response within 21 days.
  • 5Requesting a total leave period that exceeds 24 months.

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

  • Filing date: Send the request at least 4 weeks before the end of your current unpaid parental leave; the employer must reply in writing within 21 days.
  • 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

Hover a term to preview the meaning.

What this form is for

  • You have completed the first 12 months of unpaid parental leave and want up to another 12 months.
  • Your total unpaid parental leave will not exceed 24 months from your child’s birth or placement.
  • You must send the request at least 4 weeks before the end of the initial 12‑month period.

Form selector

Use this form or another form?

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

Deadline or filing window

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.

Before you submit

  1. 1Insert today's date at the top of the letter.
  2. 2Fill in your full name, contact details and job title.
  3. 3Enter your manager’s name correctly.
  4. 4Provide the original leave start and end dates.
  5. 5State the proposed new return‑to‑work date (must be ≤ 24 months from birth/placement).
  6. 6Calculate and list the additional period of leave you are requesting.
  7. 7Calculate the total period of leave and ensure it does not exceed 24 months.
  8. 8Delete all red placeholder brackets and replace with your details.
  9. 9Delete purple explanatory notes and change remaining text to black.
  10. 10Keep a copy of the completed letter for your records.

How to file this form

  1. 1Download the latest template from fairwork.gov.au/templates.
  2. 2Replace all red < > placeholders with your personal information.
  3. 3Remove purple explanatory text and change all remaining text to black.
  4. 4Print or save the letter as a PDF.
  5. 5Deliver the letter to your employer at least 4 weeks before your initial 12‑month leave ends.
  6. 6Ask your employer to confirm receipt in writing.
  7. 7Wait for a written response within 21 days.

Known limitations

  1. 1Cannot be used if you have taken less than 12 months of unpaid parental leave.
  2. 2Not valid if you have already returned to work after the first 12 months.
  3. 3Total unpaid leave (original + extension) must not exceed 24 months from birth or placement.
  4. 4Employer can only refuse on reasonable business grounds after genuine discussion.
  5. 5The template provides general information – it is not legal advice.

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 template was last updated in July 2023. Use the latest version from fairwork.gov.au/templates.

What changed or needs a fresh check

  • Confirm the document shows a July 2023 update date.
  • Verify colour‑coded placeholders (red <> text) are still present.
  • Check that purple explanatory text is still marked as delete‑after‑use.
  • Ensure the template still requires changing all text to black before sending.
  • Confirm the URL references (fairwork.gov.au/templates) point to the current site.

Quick Facts

Employees who have completed 12 months of unpaid parental leave and wish to extend it.
The letter records your original leave dates, the new proposed return‑to‑work date, the additional weeks or days you’re asking for, and the total leave period (not to exceed 24 months).
Send the request at least 4 weeks before the end of your current unpaid parental leave; the employer must reply in writing within 21 days.
Deliver the completed letter directly to your employer – by email, post, or hand‑delivery – and keep a copy for your records.
Meeting the 4‑week notice and 21‑day response rules ensures your employer must consider the request; missing them can mean you lose the chance to extend your leave.
1. Open the template from fairwork.gov.au/templates. 2. Replace all red placeholders with your name, contact details, job title, manager’s name, original leave dates, and the new return date. 3. Delete the purple explanatory text and change all remaining text to black. 4. Date and sign the letter, keep a copy, and give it to your employer at least four weeks before your current leave ends.

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Sources

  • SRCForm title matches source: "Request to extend unpaid parental leave beyond initial 12 monthstemplate letter".
  • SRCEligibility criteria (must have completed 12 months, total ≤ 24 months) taken from page 1.
  • SRC4‑week notice requirement extracted from page 1.
  • SRCEmployer 21‑day written response requirement extracted from page 1.
  • SRCReference to section 76 and 76A of the Fair Work Act taken from page 3.
  • SRCContact details for Infoline (13 13 94) and dispute options from page 2.
  • SRCColour‑coding instructions and placeholder guidance from page 2.
  • SRCLast updated date (July 2023) from page 2.

Common confusion points

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.

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