Form
Use this form to claim Maternity Allowance.
Ref: MA1PDF, 338KB, 23 pages
Ref: MA1-printPDF, 223KB, 22 pages
Ref: MA1 NotesPDF, 165KB, 16 pages
HTML
Get more information about eligibility and how to claim.
You’ll need to include your Test Period dates in the claim form. Your Test Period is the 66 weeks before the week you expect to have your baby. Use the Test Period calculator to find out these dates.
If you cannot download or print the claim form, you can ask for a form to be posted to you.
Published 1 October 2013
Last updated 3 September 2021 + show all updates
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