Maternity Leave Staggered Return Plan

Maternity Leave Staggered Return Plan — Form Fields

This hr template includes 8 fields. Employees returning from maternity leave submit a proposed phased return-to-work schedule. Free to customize and use on ZenBuild.

• Employee Name (text, required)
• Employee ID (text, required)
• Original Leave Start Date (text, required)
• Expected Full Return Date (text, required)
• Proposed Phased Schedule (dropdown selection, required) — options: 2 days/week for 2 weeks, 3 days/week for 4 weeks, Part-time for 1 month, Other
• Any work restrictions from healthcare provider (long text, optional)
• Has your manager been informed of this plan? (multiple choice, required) — options: Yes, No
• Additional notes (long text, optional)