NIM01F04 – Form to notify a pregnancy-related absence 4 weeks before the expected week of childbirth (EWC)

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Form

NI/GB region

This form should be completed by a pregnant employee who is experiencing a pregnancy related illness fewer than 4 weeks from the expected date of childbirth. The submission of this form automatically triggers maternity leave and pay.

Available Documents:

NIM01F04.docx

Last Updated at: 2026-03-31 07:51

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