Application for payments for bereavement leave

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Each parent fills in an application individually

Applicant information

Name

ID number

Address

Postal code

Municipality

Home phone/Mobile phone/Work phone

Communication with the Ministry of Labor

A letter from the Labor Office will be sent to the given email address

Letters from the Labor Office are received by standard mail

Request genderless registration

Loss of a child

Utilization of right in months

Child ID number

Miscarriage or stillbirth.

Following a miscarriage after 18 weeks of pregnancy, each parent is entitled to 2 months of independent care.

18 weeks pregnant

Following a stillbirth after 22 weeks of pregnancy, each parent is entitled to 3 months of independent care.

22 weeks of pregnancy

Information about bank account, pension fund, private property fund and trade union

Bank number

General ledger

Account number

Pension fund (Obligation to pay)

Pension fund department

Private equity fund (Optional to pay)

% which shall go into private ownership

Trade union Optional (If union dues are not paid during maternity leave, all union rights may be forfeited)

Union

Request for the use of a personal tax credit

I want to use a personal discount during payments

Required supporting documents. (Supporting documents can be submitted after the application has been submitted using the portal: Additional documents for applications. Note that applications cannot be processed until the necessary supporting documents have been received).

If a parent wants to use a personal discount for bereavement leave, the form "Request for the use of a personal discount" must be received no later than the 20th day of the month in which it is to be used (form downloaded from the Maternity Leave Fund's website).

Other information that the parent wishes to provide

I hereby confirm that the information provided is to the best of my knowledge

I hereby confirm that I am aware that the Labor Agency will obtain the necessary data from the records of the National Tax Administration during the implementation of the law when calculating payments and during supervision.

Notification of bereavement leave arrangements (form downloaded from the Maternity Leave Fund's website)

A self-employed parent must submit confirmation of a reduction in the calculated remuneration if applicable (available from RSK)

Service provider

Directorate of Labour