Official form guide
This is a template letter provided by the Fair Work Ombudsman for employees to request an extension of unpaid parental leave beyond the initial 12-month period. It is used to formalize a written request to an employer, which is a requirement under the National Employment Standards (NES).
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Form Overview
This is a template letter provided by the Fair Work Ombudsman for employees to request an extension of unpaid parental leave beyond the initial 12-month period. It is used to formalize a written request to an employer, which is a requirement under the National Employment Standards (NES).
Plain English
If you are nearing the end of your first year of unpaid parental leave and want to take more time off, you can use this letter to ask your employer. It gives you a standard, easy-to-use format to put your request in writing so you and your employer have a clear record.
Submission Date
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Requesting flexible work hours upon return
You might need to change your work patterns when you return from leave
✓ Check Fair Work Ombudsman website for flexible working templates
Disputing a refused extension
If your employer unreasonably refuses your request, you may need to escalate the issue
✓ Check Fair Work Commission eligibility criteria
Applying for the initial 12 months of leave
You must use your company's standard process for the first 12 months
✓ Check your employee handbook or HR portal
Claiming government-funded parental leave
This is separate from your employer's unpaid leave and paid through Centrelink
✓ Log in to your myGov account to check eligibility
Submit the completed letter to your employer at least 4 weeks before the end date of your initial 12-month unpaid parental 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->This is a standard Fair Work Ombudsman template reflecting current National Employment Standards for unpaid parental leave.
Quick Facts
Assuming the employer must automatically approve the request
Missing the 4-week notice deadline
Confusing unpaid parental leave from an employer with Paid Parental Leave from Centrelink
Failing to specify a clear return date in the letter
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