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[Your address]

[Company address]

Dear [name of employer/manager]

Ref: Request for extension of maternity leave

National Insurance No: [add number]

I am writing to confirm that I intend to take the full period of additional maternity leave in addition to the statutory leave period.

I am therefore planning to return to work on [insert revised date].

I would be grateful if you could advise which, if any, of my current employment terms will be affected by this decision.

Could you also advise whether you require any further information from me at this time.

Yours faithfully,

[Your name]

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