Parental leave benefit Please enable JavaScript in your browser to complete this form.Part I – Applicant’s information Enter your social insurance number *Choose marital status *SingleMarriedWidow or widowerDivorcedSeparatedΙΒΑΝ Number *Found in your account statement or online banking – for example: CY12002001230000000123456789 Upload your IBAN certificate * Drag & Drop Files, Choose Files to Upload Upload only .jpg, .jpeg, .png, and .pdf files with maximum size 2MB The document can only be uploaded once and the size should not exceed the 2MBPart II – Child’s information Child's name *Child's surname *Child's date of birth *Choose your child’s identity type *Cyprus identityARC (Alien Registration Certificate)Other (like personal ID number from another country)Cyprus ID card *ARC (Alien Registration Certificate) *Other type of identification *Upload identification certificate * Drag & Drop Files, Choose Files to Upload Upload only .jpg, .jpeg, .png, and .pdf files with maximum size 2MBThe document can only be uploaded once and the size should not exceed the 2MBDoes your child have a disability? *YesNoUpload valid certificate * Drag & Drop Files, Choose Files to Upload The certificate you upload must be the official certificate issued by the Department of Social Inclusion of Persons with Disabilities Upload only .jpg, .jpeg, .png, and .pdf files with maximum size 2MBThe document can only be uploaded once and the size should not exceed the 2MB Period of parental leave State the period for which you request Parental Leave From *To *Part III – Employment Information Declare if you are *EmployedSelf-employedBothAs employed State how many active employers you have *123Upload your employer's declaration * Drag & Drop Files, Choose Files to Upload Upload only .jpg, .jpeg, .png, and .pdf files with maximum size 2MBThe document can only be uploaded once and the size should not exceed the 2MBUpload for every employer seperate declaration (2) * Drag & Drop Files, Choose Files to Upload You can upload up to 2 files. Upload only .jpg, .jpeg, .png, and .pdf files with maximum size 2MBThe document can only be uploaded once and the size should not exceed the 2MBUpload for every employer seperate declaration (3) * Drag & Drop Files, Choose Files to Upload You can upload up to 3 files. Upload only .jpg, .jpeg, .png, and .pdf files with maximum size 2MBThe document can only be uploaded once As self-employed card the which I have notified the Director of Social Insurance Services, of my intention to take up Parental leave stating the starting and ending date of the Parental leave period, 3 weeks prior to the starting date of leaveYesNoEnter the date of Director's update *Upload declaration verifiyg the reason why the Director was not notified * Drag & Drop Files, Choose Files to Upload Upload only .jpg, .jpeg, .png, and .pdf files with maximum size 2MBThe document can only be uploaded once and the size should not exceed the 2MBI responsibly declare that the period of which I am requesting does NOT fall in a period of interruption of my business due to law, customs, collective agreements or suspension of work. *YesNoBy clicking submit I declare responsibly that: The information provided is correct and real I am aware of the provision of the Social Insurance law N.59(I)/2012 in the relation to false information and misrepresentation During the period for which I am requesting Parental Leave, I will not be working Submit