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Maternity Return To Work Form Template for Canada

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Key Requirements PROMPT example:

Maternity Return To Work Form

"I need a Maternity Return to Work Form for an employee returning to full-time work on March 1, 2025, who requires nursing breaks and a private space for pumping during working hours."

Document background
The Maternity Return To Work Form is a essential document used when an employee is preparing to return to work following maternity leave in Canada. It is designed to comply with Canadian federal and provincial employment standards, human rights legislation, and workplace safety regulations. The form should be completed approximately 2-4 weeks before the planned return date and includes critical information such as return date, work schedule, required accommodations, and any modified duties. This document serves multiple purposes: it ensures legal compliance, documents any agreed-upon modifications to working arrangements, confirms workplace accommodations, and provides a clear record of the return-to-work plan for both employer and employee. The form is particularly important in cases where there are specific accommodations needed or where a gradual return to work is planned.
Suggested Sections

1. Employee Information: Basic details including employee name, employee ID, position, department, and contact information

2. Leave Details: Information about the maternity leave period, including start date and actual end date

3. Return to Work Date: Confirmed date of return to work and any phased return arrangements

4. Work Schedule: Detailed information about working hours, days, and any modifications to previous schedule

5. Position Details: Confirmation of role upon return, including any changes to responsibilities or location

6. Required Accommodations: Any workplace accommodations needed upon return (e.g., nursing breaks, ergonomic requirements)

7. Confirmation and Signatures: Acknowledgment and agreement section for both employee and employer representatives

Optional Sections

1. Flexible Working Request: Section for requesting modified work arrangements, used when employee is seeking permanent changes to working patterns

2. Health Considerations: Section for documenting any medical requirements or restrictions, used when medical clearance or accommodations are needed

3. Training Requirements: Details of any refresher training or updates needed, used when employee has been on extended leave or role has changed

4. Nursing/Pumping Arrangements: Specific arrangements for nursing mothers, used when employee requires nursing breaks or facilities

5. Gradual Return Plan: Detailed plan for phased return to full duties, used when employee is requesting or has agreed to a gradual return to work

Suggested Schedules

1. Schedule A: Workplace Accommodation Details: Detailed description of any specific workplace accommodations agreed upon

2. Schedule B: Return to Work Timeline: Detailed timeline for phased return to work, if applicable

3. Schedule C: Emergency Contacts: Updated emergency contact information and child care arrangements

4. Appendix 1: Company Policies: Reference to relevant company policies regarding flexible working, nursing mothers, etc.

5. Appendix 2: Employee Rights Summary: Summary of legal rights and protections for returning mothers

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈ˰æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions

























Clauses



















Relevant Industries

Healthcare

Technology

Financial Services

Manufacturing

Retail

Education

Government

Professional Services

Telecommunications

Transportation

Construction

Hospitality

Non-profit

Media and Entertainment

Energy

Mining

Agriculture

Relevant Teams

Human Resources

People Operations

Employee Relations

Occupational Health

Health and Safety

Legal

Compliance

Benefits Administration

Employee Experience

Labor Relations

Relevant Roles

HR Director

HR Manager

HR Business Partner

Employee Relations Manager

Benefits Administrator

Leave Specialist

HR Coordinator

Occupational Health Manager

Health and Safety Officer

Return to Work Coordinator

HR Compliance Officer

Employee Experience Manager

People Operations Manager

Talent Management Specialist

HR Operations Manager

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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