Form

Maternity Allowance claim form

Use this form to claim Maternity Allowance.

Applies to England, Scotland and Wales

Documents

Notes sheet for the Maternity Allowance claim form

Test Period calculator

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 27 January 2023 + show all updates
  1. Added new versions of the Maternity Allowance claim forms in English and Welsh.

  2. Added Maternity Allowance - Test Period tables from October 2022 to December 2024 (HTML and PDF) - Welsh.

  3. Added Test Period tables from October 2022 to December 2024 (HTML and PDF).

  4. Added information on how to order a claim form in Northern Ireland.

  5. Added link to the Test Period calculator where you can check your Test Period dates. You must include these dates in your Maternity Allowance application form.

  6. Updated the Test Period table with dates for the week that includes the date you expect to have your baby up to December 2022.

  7. Updated the Test Period table with dates for the week that includes the date you expect to have your baby up to December 2021.

  8. Added accessible version of test period table. It has also been updated following feedback of some incorrect dates.

  9. Added Test Period tables for 2019 to 2020.

  10. Added Test Period tables from 2018 to 2019.

  11. Updated the following forms: 'Notes sheet for the Maternity Allowance claim form' (now dated 12/18), 'Welsh: Lwfans Mamolaeth MA1W' (now dated 05/18), and 'Welsh: Lwfans Mamolaeth taflen nodiadau' (now dated 12/18). Also published a new claim form, 'Welsh: Ffurflen hawlio Lwfans Mamolaeth, gallwch ei llenwi ar y sgrîn ac yna ei hargraffu' (dated 05/18).

  12. Published an English version of the notes sheet, that was previously part of the claim form, as a separate document.

  13. Updated the Welsh version of the Maternity Allowance claim form with new test period tables covering 2018 to 2019.

  14. Updated the English versions of the Maternity Allowance claim form with new test period tables covering 2018 to 2019.

  15. Replaced all 3 versions with March 2016 editions.

  16. Replaced the interactive and print versions of the form with October 2014 editions.

  17. First published.