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Paternity Notification Form

This document is a paternity notification form from the Ateneo de Manila University Human Resource Management Office. It requires an employee to provide personal information including their name, position, department, marital status, and expected due date of their wife's pregnancy. The employee must also specify if this will be their first, second, third, etc. child and attach supporting documents like a marriage contract or physician's certification. The employee signs to certify the truth and accuracy of the information to secure eligibility for paternity leave benefits under Philippine law.

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Arvin Villadiego Olvida
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7K views1 page

Paternity Notification Form

This document is a paternity notification form from the Ateneo de Manila University Human Resource Management Office. It requires an employee to provide personal information including their name, position, department, marital status, and expected due date of their wife's pregnancy. The employee must also specify if this will be their first, second, third, etc. child and attach supporting documents like a marriage contract or physician's certification. The employee signs to certify the truth and accuracy of the information to secure eligibility for paternity leave benefits under Philippine law.

Uploaded by

Arvin Villadiego Olvida
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Ateneo de Manila University

Human Resource Management Office

PATERNITY NOTIFICATION FORM

Employee Name: ___________________________________________________________

Position Title / Rank:_______________________________ Unit / Dept: ________________

Personnel Category: [ ] Faculty [ ] Staff [ ] Professional [ ] Admin.


Officer

Wife's Name: First Name ________________ Maiden Name ______________________

Home Address: ____________________________________________________________

____________________________________________________________

This is to notify my employer that my wife is pregnant and is expected to

give birth on (due date) ___________________________. This will be her

[ ] first [ ] second [ ] third [ ] fourth [ ] ___________ delivery

(counting all childbirths and miscarriages).

As supporting document(s). I have attached:

[ ] photocopy of marriage contract (only for the Initial Notification)

[ ] physician's certification as to expected date of delivery

I certify on my honor that the foregoing information is true and correct, and
that I am providing such information for the purpose of securing eligibility for
Paternity Leave Benefit as provided under R.A. No. 8187.

____________________________ ____________________

Signature of Employee Date

Endorsed by:

____________________________

Supervisor

Noted by:

____________________________

Unit Head

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