Form Gpcl1 – Fill Out and Use This PDF

Form GPCL1

GOVERNMENT-PAID CHILDCARE LEAVE (GPCL) SCHEME

DECLARATION BY EMPLOYEE

Child Development Co-Savings Act (Cap. 38A)

Child Development Co-Savings (Childcare Leave and Extended Childcare Leave) Regulations 2013

Before filling up the form (which may take you 3 minutes to complete), please note:

(i)Read the explanatory notes before completing this declaration.

(ii)Save for Part 7 below, all references to “you” or “I” in this form shall be taken to be a reference to you, the employee who is applying for childcare leave/ extended child care leave.

Scheme applied for (please tick one)

 Childcare Leave	 Extended Childcare Leave
(for parents with youngest child who is below 7 years old)	(for parents with youngest child who is between 7 and 12
	years old (inclusive))

Part 1 : Details of employee

A	Name	B	NRIC No./ FIN No.
C	Designation of employee	D	Date when employee joined company

Note:

If you are submitting this form to your employer for the first time for the current relevant period (referred to in Part 4), you will need to complete all the sections in the form. Otherwise, please proceed to Part 4.

Part 2 : Details of youngest child of employee

A Name	B Birth certificate No.	C Date of birth

Part 3 : Declaration of Singapore citizenship

	My youngest child is a Singapore citizen and is below 7 years of age / is aged 7 years	 Yes	 No
	old and above but below 13 years old *at any time in the current relevant period
	(referred to in Part 4)
	Please attach a copy of the child’s Singapore citizenship certificate if the child is not
	born as a Singapore citizen.
	*please delete where applicable
	Part 4 : Details of childcare leave

The relevant period1 agreed by both employer and you to take childcare leave/ extended childcare leave is as follows:

Start

End

D D M M Y Y Y Y

D D M M Y Y Y Y

Note: The relevant period agreed upon will be used for the entire duration of childcare leave/extended childcare leave until the employee becomes ineligible (ie does not meet the eligibility criteria) or changes employer. If the employee changes employer and is still eligible for childcare leave/ extended childcare leave, he/she may opt for a different relevant period with the new employer.

1The “relevant period” refers to any period of 12 months as is agreed to by the employee and his employer; or where there is no such agreement, a calendar year.

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Part 7 : Employer’s acknowledgement

I understand that the 6 days of childcare leave is being granted to my employee with a Singapore citizen child below the age of 7 years (regardless of the number of children below the age of 7 years) / I understand that the 2 days of extended child care leave is being granted to my employee whose youngest qualifying child is a Singapore citizen and who is aged 7 years and above but below 13 years of age (regardless of the number of children my employee has).

I have agreed to allow my employee (referred to in Part 1) to take the childcare leave/extended childcare leave on the dates stated in Part 4.

____________________________	______________	_____________________	______________
Name/Designation	NRIC No.	Signature/Company Stamp	Date

*Delete whichever is not applicable.

Note to employer:

Please do not submit this declaration form to the Central Provident Fund Board (CPF Board). However please

keep this form for a period of 3 years from the date the form is submitted to you by your employee, for

verification of details by CPF Board if necessary.

Note to employee:

In completing this declaration, you have given consent to display the total number of days you have taken via the e-service “Enquiry on Government-Paid Childcare Leave” in the CPF Board website. Should

you have queries, please email CPF Board at employer@cpf.gov.sg.

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Form GPCL1

EXPLANATORY NOTES ON DECLARATION BY EMPLOYEE

Declaration of eligibility

1.This form should be submitted by an employee who is the parent of the child in respect of whom childcare leave is being applied for (“the child”) to his/her employer before the start of the childcare leave.

2.Subject to the Child Development Co-Savings Act (Cap 38A) (“CDC Act”) and the Child Development Co-Savings

(Childcare Leave and Extended Childcare Leave) Regulations 2013 (“CDC Regulations”), an eligible employee is entitled to :

a)6 days of the childcare leave, of which the first 3 days will be employer-paid and the last 3 days will be Government-paid so long as the employee has a Singapore citizen child below the age of 7 years; and

b)2 days of extended childcare leave if the employee has a child between 7 and 12 years old (inclusive).

3.The employee is entitled to receive payment from the employer at his/her gross rate of pay up to a maximum of $500 for each day of childcare leave. The payment will include any CPF contributions which an employer is liable to make under the Central Provident Fund Act (Cap. 36).

4.In making this declaration, the employee assures the employer that he/she meets the eligibility criteria for the childcare leave benefits. An employee is eligible for paid childcare leave during a relevant period if:

a)he/she has served the employer for a continuous period of not less than 3 months; and

b)he/she has any child who is below the age of 7 years or between 7 and 12 years old (inclusive), and

c)his/her child is a Singapore citizen, or who becomes, a Singapore citizen before the 7th or 12th birthday, at any time during any relevant period.

5.If the employee did not serve the employer for the full 12 months during the relevant period, he/she shall be entitled to childcare leave for that relevant period based on the table below –

	Length of service with employer during relevant period		Number of days of childcare leave
Not less than 3 months but less than 5 months		2
Not less than 5 months but less than 7 months		3
Not less than 7 months but less than 9 months		4
Not less than 9 months but less than 11 months		5
Not less than 11 months		6

6.The child, in relation to an employee, includes any adopted child or step-child of the employee.

7.With effect from 1st May 2013, unmarried/ single parents can consume 6 days of childcare leave if their youngest child is below 7 years old, subject to all other eligibility criteria for childcare leave in Paragraph 4 of these

Explanatory Notes being met. For unmarried/ single parents whose youngest child is between 7 to 12 years old, the employers may grant the 2 days of extended childcare leave to them between 1st January 2013 to 30th April 2013 and seek reimbursement from the Government after 1st May 2013.

8.An employee shall not be entitled to:

a)More than 42 days of childcare leave in respect of any qualifying child;

b)More than 12 days of extended childcare leave in respect of any qualifying child; and

c)More than a combined total of 6 days of childcare leave and extended childcare leave during any relevant period.

9.If the employment of the employee who is entitled to childcare leave is terminated (whether by resignation or dismissal, upon the completion of his contract of service, or for any other reason) before he has taken the entitlement of childcare leave or extended childcare leave, as the case may be, for a relevant period, the employee:

a)Shall cease to be entitled to that leave upon the termination of his employment; and

b)Shall not be entitled to any payment in lieu thereof.

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Notes to Employers

10.Employers should ensure that they have received the duly signed and completed declaration form (GPCL1) or in such form as in the employer may provide in accordance to the requirements specified in the website www.profamilyleave.gov.sg, from their employee before making payment. If the employer is satisfied that the employee is entitled to payment in accordance with paragraph 4 of these Explanatory Notes, he may proceed to make payment to him/her.

11.Please do not submit this declaration form to the CPFB. However please keep this form, for a period of 3 years from the date the form is submitted to you, for verification by CPFB when necessary.

12.For more information or clarification, please contact the CPFB at 1800 - 2271188 or send an e-mail to employer@cpf.gov.sg. You can also visit our website at www.profamilyleave.gov.sg.

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