Maternity Allowance claim form
Use this form to claim Maternity Allowance.
Applies to England, Scotland and Wales
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
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
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.
Last updated 1 March 2023 + show all updates
Corrected the example in the HTML version of the test period table. In the line 'The week that includes the date you expect to have your baby (column 1): 12 February 2021 to 18 February 2023', 12 February 2021 should have been 12 February 2023.
Added new versions of the Maternity Allowance claim forms in English and Welsh.
Added Maternity Allowance - Test Period tables from October 2022 to December 2024 (HTML and PDF) - Welsh.
Added Test Period tables from October 2022 to December 2024 (HTML and PDF).
Added information on how to order a claim form in Northern Ireland.
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.
Updated the Test Period table with dates for the week that includes the date you expect to have your baby up to December 2022.
Updated the Test Period table with dates for the week that includes the date you expect to have your baby up to December 2021.
Added accessible version of test period table. It has also been updated following feedback of some incorrect dates.
Added Test Period tables for 2019 to 2020.
Added Test Period tables from 2018 to 2019.
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).
Published an English version of the notes sheet, that was previously part of the claim form, as a separate document.
Updated the Welsh version of the Maternity Allowance claim form with new test period tables covering 2018 to 2019.
Updated the English versions of the Maternity Allowance claim form with new test period tables covering 2018 to 2019.
Replaced all 3 versions with March 2016 editions.
Replaced the interactive and print versions of the form with October 2014 editions.