Appendix 1
University of St Andrews
from first to foremost
600 YEARS
1413 - 2013
Human Resources
Notification of Additional Statutory Paternity Leave Form
Additional Statutory Paternity Pay is only applicable where the Expected Week of Childbirth or
Placement (EWC/EWP) is on or after the 3 April 2011
Please note this form must be completed 8 weeks before the intended start of APL
Employee Details (To be completed by the employee)
Employee’s Full Name:
School/Unit/Residence:
Staff ID Number:
National Insurance Number:
Expected week of Childbirth or Expected Week of Placement:
Details of Child (To be completed by employee)
Actual Date of Birth or Date of Placement:
Child’s Full Name:
(You must attach a copy of your Child’s Birth Certificate or Matching Certificate to this form).
Dates of Additional Paternity Leave (To be completed by employee)
Additional Paternity Leave Start Date:
Additional Paternity Leave End Date:
Pension Scheme (To be completed by employee)
I wish/do not wish to maintain membership of the superannuation scheme during the period of
unpaid leave.
Employee Declaration (To be completed by employee)
I confirm that I am requesting additional paternity leave for the purpose of caring for the above
named child and that I satisfy the eligibility criteria for additional paternity leave and pay.
1. I confirm that I meet the qualifying conditions for additional paternity leave in that I am:
(Please tick one)

the father of the child with responsibility for the upbringing of the child

not the father, but married to the child’s mother/adopter and mainly responsible (apart from
the mother/adopter) for the upbringing of the child

not the father, but the partner of the child’s mother/adopted and mainly responsible (apart
from the mother/adopter) for the upbringing of the child where partner is defined as “living
with the mother/adopter) in an enduring family relationship” but not a relative of the
mother/adopted, e.g. not a parent, grandparent, sibling or aunt/uncle of the mother/adopter.
2. I understand that I must provide 6 weeks’ written notice if I wish to change the start date of my
additional paternity leave.
3. I understand that all of my additional paternity leave must be taken within 12 months of my
child’s birth/placement.
4. I attach a copy of my child’s birth certificate/matching certificate to this form.
Signed ________________________________________________________
Date __________________________________________________________
Section 5: Declaration by Mother/Primary Adopter
As the mother/primary adopter of the above named child, we require some information about you,
in order to confirm whether your spouse/partner is eligible for additional Statutory paternity leave.
Please complete the details below in full:
Your Full Name:
Your Home Address:
National Insurance Number:
Name and Address of your Employer
 University of St Andrews
School/Unit/Residence:
Staff ID Number:

If not an employee of the University of St Andrews then please provide a contact from your
employers Human Resources or Payroll Department:
Name
Address
HR contact including email address
I confirm that I am entitled to the following in respect of the above named child (please tick one):
Maternity leave 
Adoption leave 
I confirm that I am entitled to the following in respect of the above named child (please tick one):
Statutory Maternity Pay  Maternity Allowance 
Statutory Adoption Pay 
Date you started your maternity/adoption leave:_______________________________
Your intended date of return to work following maternity/adoption leave: _____________________
I confirm that the details I have provided above are correct and that I have given notice to my
employer of my intention to return to work on the date stated above.
I confirm that the employee requesting additional paternity leave satisfies the relationship criteria as
detailed above and that he/she is the only person exercising the entitlement to additional paternity
leave in respect of the above named child.
I consent to you processing the information above, in order to progress this application and, where
necessary, contacting my employer to verify the details provided above.
Signed _________________________________________________________________
Date____________________________________________________________________
To be completed by the Head of School/Unit
Signature _____________________________________________
Date _________________________________________________
If replacement cover for the paternity leave period is required, approval must be sought via the
Director of Human Resources.
Completed forms should be returned to Human Resources. A copy should be kept for yourself and
your Head of School/Unit.
Please note if any of the details you or your spouse/partner have provided change, you must
notify your Human Resources immediately as this could result in a change to your entitlements.
Deliberately providing inaccurate or false information may result in disciplinary proceedings.
Appendix 2
Guidance for Heads of School/Unit
This section provides guidance for Heads of School/Unit regarding Additional Paternity Leave (APL).
Once an employee informs you that they are taking APL you should ensure that they are not subject to
any harassment, discrimination or unfavourable treatment on the grounds of their paternal
responsibilities.
Are the entitlements the same if the employee is on fixed-term contracts?
Employees on fixed term contracts are entitled to APL. In circumstances where the contract expires
during APL if the employee has enough qualifying service and meets the eligibility criteria in this policy
then they will be entitled to APL even if extends beyond the original contract end date. Non-renewal of a
fixed-term contract due to APL is discriminatory.
Am I allowed to contact a member of staff who is on APL?
A manager may make reasonable contact with an individual on APL. Prior to the start of APL
managers should discuss arrangements for staying in touch with an employee, such as Keeping in Touch
days. Employees, with the agreement of their manager, can undertake 10 days paid work during their
maternity leave period.
Is there anything I should be aware of following their return to work?
Managers should be aware that changes may have taken place during APL and should therefore ensure
that the employee is updated with any changes. An employee on APL has the right to return to the
same job on the same terms and conditions that they held prior to going on leave. Any problems in the
employee returning to work should be discussed with Human Resources.
Do I have to agree a request for part time working?
An employee returning from APL may request to change their hours of work. For further information
please see the University’s Flexible Working Policy www.st-andrews.ac.uk/hr/policies or contact Human
Resources on ext 3096.
Who does the work whilst my member of staff is on APL?
A post can be covered by colleagues on acting-up allowances, secondments or by recruiting a temporary
replacement. Requests to cover a period of APL should be made to the Director of Human Resources
(email: hrdirector@st-andrews.ac.uk).
If you have any further queries please contact Human Resources on extension 3096 or email humres@standrews.ac.uk
Appendix 3
Record of Keeping in Touch Days (KIT Days)
Staff on APL may, by agreement with their Head of School/Unit, undertake up to 10 days paid work,
referred to as ‘Keeping in Touch Days (KIT Days)’, during their leave.
The type of work undertaken is a matter of agreement between the member of staff and the Head of
School/Unit. The days may be used for any activity which would ordinarily be classed as work under
the employees’ contract, and could be particularly useful in enabling attendance at a conference, training
activity, away day, departmental meetings.
Name: _________________________________________________________________
Staff ID/NI Number/ Date of Birth: _________________________________________
School/Unit/Residence: ___________________________________________________
Date of KIT day
Total hours
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Salary to be charged to
Cost
Centre
Analysis
Code
Detail
Code
I certify that the hours stated me above
have been worked by me, as part of my
KIT day entitlement.
Certified by Head of School/Unit
Signed ………………………………
Signed ………………………………
Please ensure you retain a copy of this form for your own records and return the completed form to
the Salaries Office, the Old Burgh School to ensure payment of KIT days.
KIT days will be included in your monthly salary and will be detailed on your payslip. The days will
be paid on the first pay date after Salaries receive this completed form; provided it is received by the
relevant salary cut off date.
Appendix 4
Annual Leave
Before your Additional Paternity Leave ensure you have taken all the annual leave you have accrued
since the beginning of the holiday year.
Please Note: You will NOT normally be allowed to carry these holidays forward. You can take your
holiday entitlement at the beginning of your leave.
Annual leave accrual during Additional Paternity Leave:


You continue to accrue annual leave entitlement whilst you are on Additional Paternity Leave –
see table below.
Leave accrued during Additional paternity Leave may be carried forward into the holiday year
in which you return and you may add this to the end of your leave. This would mean that
although your Additional Paternity Leave would end on the agreed date you would not actually
return to the workplace until the end of the holiday period.
Please Note: The 5 public holidays should not form a part of holiday calculations; if you are working or
on paid leave when these fall, you will receive payment for them but they are not transferable.
The table below highlights the number of days accrued depending on your grade and length of service.
These figures will be affected should you decide to return early from Additional Paternity Leave.
Grade and service
Grades 1 – 4 inclusive
< 4 years service
Grades 1 – 4 inclusive
> 4 years service but less than 6
years service
Grades 1 – 4 inclusive
> 6 years service
Total
Holidays
Due
1
2
3
4
30
3
5
8
10 13
15 18 20 23 25 28 30
32
3
5
8
11 13
16 19 21 24 27 29 32
34
3
6
9
11 14
17 20 23 26 28 31 34
34
3
6
9
11 14
17 20 23 26 28 31 34
Number of completed months
5
6
7
8
9
10 11 12
Grades 5 – 9 inclusive