A declaration signed by the secondary carer and by the birth parent/primary adopter, stating that they are eligible for SPL and how many weeks they intend to take.
Datganiad wedi’i arwyddo gan y gofalwr eilaidd a’r rhiant biolegol/ prif fabwysiadwr yn nodi eu bod yn gymwys am SPL a faint o wythnosau y mae nhw'n bwriadu eu cymryd.