Form

Maternity Allowance claim form

Use this form to claim Maternity Allowance.

Documents

Details

Go to www.gov.uk/maternity-allowance for information about eligibility and how to claim.

If you cannot download or print the claim form, you can ask for a form to be posted to you.

Order a claim form

Published 1 October 2013
Last updated 11 March 2020 + show all updates
  1. Added accessible version of test period table. It has also been updated following feedback of some incorrect dates.

  2. Added Test Period tables for 2019 to 2020.

  3. Added Test Period tables from 2018 to 2019.

  4. 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).

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

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

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

  8. Replaced all 3 versions with March 2016 editions.

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

  10. First published.