Form
Use this form to claim Maternity Allowance.
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Ref: MA1PDF, 711 KB, 20 pages
Ref: MA1-printPDF, 223 KB, 22 pages
Ref: MA1 NotesPDF, 201 KB, 16 pages
https://secure.dwp.gov.uk/check-your-maternity-allowance-dates/date-baby-due/
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PDF, 173 KB, 8 pages
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.
This service is only available if you live in England, Scotland and Wales. There is a different process in Northern Ireland.
Find out how to ask for a claim form in Northern Ireland
Published 1 October 2013
Last updated 27 January 2023 + show all updates
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