Statutory Paternity Pay and Leave: becoming an adoptive or parental order parent
Use the online form (previously form SC4) if you’re adopting a child and need to apply for Statutory Paternity Pay and Leave.
Documents
Details
Use this form to apply for Statutory Paternity Pay and Leave if you’re either:
- an employee adopting a child or planning to adopt a child as part of a ‘fostering for adoption arrangement’
- a parental order parent
Give your completed form to your employer.
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You’ll need to fill in the form fully before you can download or print it. You cannot save a partly completed form so we suggest you gather all your information together before you begin to fill it in.
Related forms and guidance
Paternity pay and leave: employee guide
Guidance on what you get, how to claim, eligibility and additional paid paternity leave.
Last updated 19 April 2024 + show all updates
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The Statutory Paternity Pay and leave form for becoming an adoptive or parental order parent (SC4) has been replaced with the 'Ask your employer for Statutory Paternity Pay and/or Paternity Leave' online form.
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Welsh translation added.
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An updated form SC4 for employees who adopt a baby and need to apply to your employer for Ordinary Statutory Paternity Pay and Leave has been published.
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Updated form SC4 incorporating the introduction of Parental Order Parents in surrogacy and foster to adopt cases and changes giving customers correct information and aid applications for Statutory Paternity Pay/paternity leave for parental order parents.
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An updated form SC4 for employees who adopt a baby and need to apply to your employer for Ordinary Statutory Paternity Pay and Leave has been published.
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First published.