How to complete the maternity and parental leave form for federal employees
This video offers an overview of the maternity and parental leave form for federal public servants and provides instructions on how to complete it. The information provided in this video is general and intended for informational purposes only. Processes may be different if your department or agency is serviced by the Public Service Pay Centre or has its own compensation team. You’re encouraged to always verify the internal procedures of your department or agency. The rules and regulations of collective agreements as well as terms and conditions of employment will supersede the content of this video.
How to complete the maternity and parental leave form for federal employees—Transcript
Start of video
[Music plays]
(Text on screen: Public Services and Procurement Canada)
[HCM/PSPC opening animation]
[Shot of a bouncing bottle on a blue background]
(Text on screen: Are you expecting a child and planning to take Maternity or Parental leave?)
Are you expecting a child and planning to take maternity or parental leave?
[A picture of the first page of the maternity and parental leave form appears on screen.]
(Text on screen: It’s important to complete the form accurately and submit it on time)
It is important to complete the form accurately and submit it on time.
(Text on screen: This application form is intended for Maternity or Parental leave only)
This application is intended for maternity or parental leave only.
[A bouncing question mark image appears followed by an image of page 3 of the form showing the Frequently Asked Questions section.]
(Text on screen: Refer to the instructions throughout the application for additional guidance.)
Refer to the instructions throughout the application for additional guidance and the “Frequently Asked Questions” posted after the application form.
[An image of the first page of the Maternity and Parental Leave form appears on the screen.]
(Text on screen: Frequently Asked Questions posted after the application form.]
(Text on screen: Complete sections 1 to 3 and 5 to 7.]
Complete sections 1 to 3 and 5 to 7.
[An orange arrow shows section 1. Employee Information.]
(Text on screen: Fill in your personal information)
Section 1: Fill in your personal information.
[An orange arrow shows section 2. Maternity or Parental Leave without Pay Dates.]
(Text on screen: Enter the dates for your leave without pay)
Section 2: Enter the dates for your leave without pay.
[An orange arrow shows section 3. Undertaking and Agreement for Maternity or Parental Allowances.]
(Text on screen: Undertaking and Agreement for Maternity or Parental Allowances)
And section 3: Undertaking and Agreement for Maternity or Parental Allowances.
Employees requesting top-ups must select each box to indicate that they have read and understood the conditions. If you are NOT requesting top-ups, select the first box only.
[Image of a signature block appears on screen.]
(Text on screen: Section 4 will be completed by your supervisor and authorized officer.)
Section 4 will be completed by your supervisor and authorized officer.
[An image of the second page of the Maternity and Parental Leave form appears on screen with an arrow pointing to Section 5.]
(Text on screen: Declaration regarding other parent)
Section 5: Declaration regarding other parent. Employees requesting top-ups must declare whether the other parent is a Federal Public Servant, and is also requesting top-ups. This will ensure that between both parents, the maximum number of top-ups is not exceeded.
[The image of the second page of the maternity and parental leave form appears on screen with an arrow pointing to section 6.]
(Text on screen: Benefits Declaration)
It is important to know that your province of residence determines which governmental entity will administer your benefits. Residents of Quebec should contact the Quebec Parental Insurance Plan (QPIP), all residents of all other provinces should contact Employment Insurance.
[The image of the second page of the maternity and parental leave form appears on screen with an arrow pointing to the benefit selection section. Two arrows pointing to the Residents of provinces or territories other than Quebec and Residents of Quebec only sections.]
(Text on screen: Select a benefit plan!)
It’s time to select a benefit plan! Either under Employment Insurance or the Quebec Parental Insurance Plan. Please refer to your collective agreement for more details on the eligibility of each plan.
[An image of the second page of the Maternity and Parental Leave form appears on screen with an arrow pointing to Section 7.]
(Text on screen: Public Service Health Care Plan while on leave)
Your Public Service Health Care Plan coverage continues automatically while you are on leave unless you choose to opt out of the plan during your leave. Premiums owed will be recovered over a period of time when you return to work. You must indicate your choice in the selected section.
[Image of a laptop and a bouncing pen.]
(Text on screen: Sign sections 3 and 7, then save the completed application as a PDF and submit it to your supervisor for approval)
Sign sections 3 and 7, then save the completed application as a PDF file and submit it to your supervisor for approval.
[Image of a calendar changing month pages and bouncing.]
(Text on screen: If your leave dates change, submit an amended application)
If your leave dates change, submit an amended application.
[Image: of an envelope with the “@” symbol followed by an image of a computer.]
(Text on screen: Within 5 working days following your last pay, your Record of Employment will be sent automatically to Service Canada by the pay system.)
(Text on screen: You can view an electronic copy of your Record of Employment by visiting: “My Service Canada Account”)
Within 5 working days following your last pay, your Record of Employment will be sent automatically to Service Canada by the pay system. You can view an electronic copy of your Record of Employment by visiting: “My Service Canada Account”.
[A picture of a question mark.]
(Text on screen: And remember: several answers to your questions can be found following the application form, such as:)
And remember: several answers to your questions can be found following the application form, such as:
[Image of conversation bubbles appear for each question.]
(Text on screen: What happens to my benefits during my leave? What about my deductions? Am I eligible to receive the maternity or parental allowance (Top-up)? How much should I expect to receive as a top-up?)
What happens to my benefits during my leave? What about my deductions? Am I eligible to receive the maternity or parental allowance? How much should I expect to receive as a top-up?
[Animated image of an employee typing on a computer.]
(Text on screen: Client Contact Centre, 1-855-686-4729 or Submit a "My Pay Enquiry form")
For questions on how to fill out this form, contact the Client Contact Centre by phone or submit a “My Pay Enquiry” form.
An agent will be happy to help you!
[Text bubble appears on screen]
(Text: This video provides general information and may not apply if your department is serviced by the Pay Centre or has its own compensation team. Always check your department’s internal procedures, as official rules and agreements take precedence over this video’s content.)
This video provides general information and may not apply if your department is serviced by the Pay Centre or has its own compensation team. Always check your department’s internal procedures, as official rules and agreements take precedence over this video’s content.
(Text on screen: Check us out, Facebook, /GCEmployeePayBenefits – Web, Client Contact Centre – Canada.ca)
(Text on screen: ISBN 978-0-660-73331-9, Catalogue P4-147/2024E-MP4)
(Music stops)
(Public Services and Procurement Canada signature)
(Canada Wordmark)
End of video