About this template
A maternity leave application form is an essential tool for human resources professionals and organizational leaders to track, verify, and approve employee requests for maternity leave. This structured form captures critical details such as the employee's expected date of childbirth, requested leave start and end dates, additional leave options, and intended return-to-work schedules.
Using Doc2Form, HR departments can instantly convert this template into a fully functioning Google Form, ensuring a standardized, paperless workflow for every request. By collecting all necessary information upfront—including contact details, department data, and links to supporting medical documentation—HR teams can plan coverage, manage timekeeping accurately, and maintain clear records for compliance and payroll.
Whether you are a growing startup or an established enterprise, having a reliable digital intake process removes friction from the leave-planning experience for both employees and managers.
Key features
- Capture expected delivery dates and leave schedules in one place.
- Collect employee details, department info, and ID numbers automatically.
- Include links to supporting medical documents for easy verification.
- Streamline HR approvals and return-to-work planning.
- Instantly generate a ready-to-use Google Form with Doc2Form.
Use cases
Processing formal maternity leave requests for corporate employees.
Coordinating coverage planning and temporary staffing with department…
Coordinating coverage planning and temporary staffing with department managers.
Tracking extended or additional leave requests alongside standard mat…
Tracking extended or additional leave requests alongside standard maternity leave.
Maintaining secure, organized records of employee leave history for H…
Maintaining secure, organized records of employee leave history for HR audits.
What this form collects
- Full Name (Short answer)Enter your first and last name as it appears on official company records.
- Employee ID (Short answer)Enter your unique employee identification number.
- Work Email (Short answer)Enter your primary company email address for leave correspondence.
- Phone Number (Short answer)Provide a reliable phone number where HR can reach you during your leave planning.
- Department (Dropdown)Select your current department within the organization.
- Job Title (Short answer)Enter your current official job title.
- Home Address (Paragraph)Enter your current residential address.
- Expected Date of Birth (Date)Select the expected due date.
- Maternity Leave Start Date (Date)Select your planned first day of leave.
- Maternity Leave End Date (Date)Select your planned final day of standard maternity leave.
- Would you like to request additional leave? (Multiple choice)Select whether you plan to request any supplementary or accrued leave.
- Additional Leave Start Date (Date)If applicable, enter the start date for any additional requested leave.
- Additional Leave End Date (Date)If applicable, enter the end date for any additional requested leave.
- Intended Return-to-Work Date (Date)Select the date you plan to resume your regular duties.
- Supporting Documents Link (Paragraph)Please paste a link to your medical certificate or supporting document (Google Drive, Dropbox, etc.).
- Employee Acknowledgment & Signature (Short answer)Type your full legal name here to confirm that the information provided is accurate and submitted in accordance with company policy.
FAQ
What is a maternity leave application form used for?
It is used by employees to formally request maternity leave and by HR departments to review, verify, and approve the request while planning coverage.
What information does this form collect?
It collects essential details including employee contact info, department, expected date of birth, requested start and end dates for leave, return-to-work date, and supporting documents.
How can I customize this form for my company?
With Doc2Form, you can instantly turn this template into a Google Form and edit any questions, add custom fields for company-specific policies, or adjust settings directly in Google Forms.
Can employees attach medical certificates or documents?
Yes, the form includes a designated section where employees can paste links to their supporting documentation stored in Google Drive or other secure platforms.
Who should use this template?
This template is ideal for HR professionals, office managers, and team leaders responsible for managing employee benefits and leave administration.
Get this form in your Google Drive
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