Maternity and Parental Leaves Form

"*" indicates required fields

I am requesting
Which parental leave benefits will you be taking?*
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Teachers who submit a maternity leave form must abide by the return date indicated on the form; therefore, are not able to return before the date indicated on the form (unless the employer and the teacher agree). If you are not certain of your return date to work, you should indicate that you will be returning earlier rather than later. While it is possible to prolong a leave, it is not possible to shorten it.


Thank you for submitting a request for a maternity and parental leaves. The NBTF will process an official form with the information you have provided and have a copy delivered to you, to the district and to Johnson Insurance.

In the meantime, we would invite you to visit the webpage containing information on maternity and parental leaves for teachers.

Should you have questions, please do not hesitate to contact Janice Freeze by email at