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Maternity Allowance claim form (19 June 2023)
Form
Maternity Allowance claim form
- English
- Cymraeg
Use this form to claim Maternity Allowance.
- From:
- Department for Work and Pensions
- Published
- 1 October 2013
- Last updated
- 19 June 2023 — See all updates
Get emails about this page
Applies to England, Scotland and Wales
Documents
Maternity Allowance claim form
Ref: MA1PDF, 624 KB, 20 pages
Notes sheet for the Maternity Allowance claim form
Ref: MA1 NotesPDF, 159 KB, 16 pages
Test Period calculator
https://secure.dwp.gov.uk/check-your-maternity-allowance-dates/date-baby-due/
Test Period table from October 2022 to December 2024
HTML
Test Period table from October 2022 to December 2024
PDF, 158 KB, 8 pages
Details
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.
Before you start this form
If you’re using a mobile phone or tablet
You cannot complete the form using a mobile phone or tablet. You have to either:
- use a desktop or laptop computer
- print the form and complete it by hand
If you’re using a desktop or laptop computer
Use a PDF reader to open and fill in this form. You can download a free PDF reader online.
If you are using screen reader software to access the form, we recommend that you review all of the notes and the questions on the form before you complete it. As you complete the form, you will be guided through the questions based on the responses you provide.
Do not use your computer’s browser or, if you are an Apple Macintosh user, the Preview application.
You can save data typed into this form if you use a PDF reader. This means that you do not have to fill in the form in one session.
There are reliability issues with some assistive software, which may mean the form will not save properly.
This form will only save if it is both:
- saved onto your computer
- opened in a recent version of PDF reader
The form will not save in:
- versions of Acrobat Reader older than version XI
- some other PDF readers, for example Preview on a Mac or Foxit on a PC
Help using this PDF claim form
For help and advice on the information you need to put on the form or about the benefit you want to claim, contact the Maternity Allowance line at Jobcentre Plus.
Contact the DWP Online Helpdesk, if you are having technical difficulties:
- downloading the form
- navigating around the form
- printing the form
DWP online helpdesk
Email dwponline.helpdesk@dwp.gov.uk
Telephone 0800 169 0154
Monday to Friday 8am to 6pm
Closed weekends and all public and bank holidays
Find out about call charges
Order a printed claim form
There was a problem with this service from 2.45pm until 6.15pm on Wednesday 7 June 2023.
We may not have received your request if you ordered a claim form during this time.
If you have not received your claim form, please submit a new request.
We apologise for any inconvenience.
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
If you need this form in a different format
For other formats, such as braille, large print or audio CD, contact Jobcentre Plus.
Published 1 October 2013
Last updated 19 June 2023 + show all updates