IRRV Alert - week ending 21st October 2022

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Maternity Allowance claim form (17 October 2022)

Form

Maternity Allowance claim form

Use this form to claim Maternity Allowance.

From:
Department for Work and Pensions
Published
1 October 2013
Last updated
17 October 2022 — See all updates
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Applies to England, Scotland and Wales

Documents

Maternity Allowance claim form you can fill in on screen and then print

Ref: MA1PDF, 338 KB, 23 pages

Maternity Allowance claim form you can print and fill in with a pen

Ref: MA1-printPDF, 223 KB, 22 pages

Notes sheet for the Maternity Allowance claim form

Ref: MA1 NotesPDF, 165 KB, 16 pages

 

Test Period calculator

https://secure.dwp.gov.uk/check-your-maternity-allowance-dates/date-baby-due/

 

Test Period table from April 2020 to December 2022

HTML

 

Test Period table from October 2022 to December 2024

HTML

Test Period table from October 2022 to December 2024

PDF, 173 KB, 8 pages

This file may not be suitable for users of assistive technology.

Request an accessible format.

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.

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

Order a claim form

Published 1 October 2013
Last updated 17 October 2022 


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