Statutory Paternity Pay and Leave: becoming an adoptive or parental order parent (SC4)
Use form SC4 if you are an employee, adopt a baby and need to apply to your employer for Statutory Paternity Pay and Leave.
Ref: SC4 PDF, 137KB, 3 pages
This file may not be suitable for users of assistive technology. Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email email@example.com. Please tell us what format you need. It will help us if you say what assistive technology you use.
Use form SC4 if you are an employee, adopting a child or planning to adopt a child as part of a ‘fostering for adoption arrangement or are a parental order parent and need to apply to your employer for Statutory Paternity Pay and Leave.
Related forms and guidance
Paternity pay and leave: employee guide
Guidance on what you get, how to claim, eligibility and additional paid paternity leave.
Published: 4 April 2014
Updated: 23 July 2015
- 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.
- 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.
- First published.