[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-280335-105":53,"doc-detail-280335-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","notice-of-return-to-work-request-for-part-time-work","Notice of return to work request for part-time work","","This form captures employee details for notifying an intention to return to work following parental leave and, where applicable, requesting part-time or reduced time arrangements. It records leave period dates, the intended return date, confirmation of written notice timing, and whether breastfeeding arrangements are sought. It also collects preferred part-time nature, start and end dates, and additional comments, then provides sections for employer confirmation and a written response within required timeframes.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/notice-of-return-to-work-request-for-part-time-work/280335/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/notice-of-return-to-work-request-for-part-time-work/280335.png","ImageObject",442,249,{"name":88,"@type":89},"Aran","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-31","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",9,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"When should an employee provide this notice of return to work and part-time work request?","Question",{"text":109,"@type":110},"Provide the completed form as soon as practicable but no less than one school term prior to the intended return to work date.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What information must be included for the part-time work request?",{"text":114,"@type":110},"Include the nature of the part-time work sought, the start and end dates for the part-time period, and any additional comments supporting the request.",{"name":116,"@type":107,"acceptedAnswer":117},"How is the employer required to respond to a part-time work request?",{"text":118,"@type":110},"The employer must provide a written response within 21 days of the request, stating whether the request is granted (with attached agreement copies) or refused (with reasons).","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},280335,1790382454,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},137455076865,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","| Name: |  | C Number: |\n| --- | --- | --- |\n| Position: |  |  |\n| School/Office: |  |  |\n| Employee parental leave and return to work details (only complete this section if you are returning to work from parental leave) |  |  |\n| Period of leave:\u003Cbr>Start Date:   End Date:   Total Weeks:  \u003Cbr>I confirm my intention to return to work on   (insert date)*\u003Cbr>*Notice of return to work is one school term prior to intended return date.\u003Cbr>I am requesting arrangements for facilitating and accommodating breast feeding?  yes  no |  |  |\n| Request for part-time work |  |  |\n| For employees returning from parental leave:\u003Cbr> I wish to return to my substantive Pre Parental Leave position without change\u003Cbr> I have a child under school age and I wish to return to work/work on a part-time/reduced time fraction basis.\u003Cbr>OR\u003Cbr>Employees currently at work:\u003Cbr> I have a child under school age and I wish to work on a part-time/reduced time fraction basis. |  |  |\n| Details of part-time work sought (if applicable) | Nature of part-time work sought (e.g. I wish to work 4 days per week /I have a preference for Mondays and Tuesdays/ I wish to work half days): |  |\n|  | Start and end dates of the period of part-time work sought (note: this does not preclude subsequent requests for part-time work period):\u003Cbr>START DATE   END DATE   |  |\n| Additional Information |  |  |\n| Additional comments (e.g. I seek this arrangement because I can only access childcare on Mondays): |  |  |\n| Employee signature: |  | Date: |\n| Employer response |  |  |\n| I confirm that your return to work date is   (Insert date) . |  |  |\n| Response to request for part-time work (if applicable) |  We have agreed you will return to work on a part-time/reduced time\u003Cbr>fraction basis and I have attached two copies of a part-time work agreement.\u003Cbr>OR |  |\n\n\n|  |  I confirm that I am unable to offer you part-time work/reduced time fraction , for the reasons outlined in the attached letter. |  |\n| --- | --- | --- |\n| Additional comments (if any): |  |  |\n| Employer signature: |  | Date: |\n\nGuidance Notes for Employees:  \n􀁸 Read clause 22 ‘Notice of return to work’ and, if relevant, clause 24 ‘Return to work part-time’ of Appendix 1. Providing this completed form to your Employer satisfies the requirement for written notice of your return to work in clause 22(2) and, if relevant, for a written request for part-time work in clause 24(3) .  \n􀁸 See also clause 3 ‘Period of leave’ (especially 3(8)-(9)) of Appendix 1.  \n􀁸 Provide to your Employer as soon as practicable but no less than one school term prior to your intended return to work date.  \n􀁸 This form is not necessary if you have taken parental leave for less than one school term and you are not requesting part-time work.  \n􀁸 Your return to work should be at the start of a school term or, if you have taken 104 weeks or more of parental leave, at the start of a school year (unless your Employer agrees otherwise) .  \nGuidance Notes for Employers:  \n􀁸 Read clause 22 ‘Notice of return to work’ and, if relevant, clause 23 ‘Return to work arrangements’ and clause 24 ‘Return to work part-time’ of Appendix 1. Providing this completed form to you satisfies the requirement for written notice of return to work in clause 22(2) and, if relevant, for a written request for part-time work in clause 24(3) .  \n􀁸 See also clause 3 ‘Period of leave’ (especially 3(8)-(9)) of Appendix 1.  \n􀁸 Both clause 24(4) of Appendix 1 and the National Employment Standards in the Fair Work Act 2009 require the Employer to provide a written response to a request for part-time work, stating whether they refuse or grant the request, within 21 days of the request. This means that where there is a request for part-time work you must complete and return this form to the Employee within 21 days. We recommend meeting with the Employee ASAP to allow you sufficient time to consider the request within the 21 day limit. If the Employee is not requesting part-time work, complete and","cbCaiiYbOekt63xK","https://ap.wps.com/l/cbCaiiYbOekt63xK","pdf",652138,"English","# Employee parental leave and return to work details\n## Request for part-time work\n## Employer response\n## Guidance notes","[{\"question\":\"When should an employee provide this notice of return to work and part-time work request?\",\"answer\":\"Provide the completed form as soon as practicable but no less than one school term prior to the intended return to work date.\"},{\"question\":\"What information must be included for the part-time work request?\",\"answer\":\"Include the nature of the part-time work sought, the start and end dates for the part-time period, and any additional comments supporting the request.\"},{\"question\":\"How is the employer required to respond to a part-time work request?\",\"answer\":\"The employer must provide a written response within 21 days of the request, stating whether the request is granted (with attached agreement copies) or refused (with reasons).\"}]","Notice of return to work request for part-time work | PDF",1789537546]