Bydd angen i chi gynnwys eich dyddiadau Cyfnod Prawf yn eich ffurflen gais. Eich Cyfnod Prawf yw’r 66 wythnos cyn yr wythnos rydych yn disgwyl cael eich babi. Defnyddiwch y Gyfrifiannell Cyfnod Prawf i ddarganfod y dyddiadau hyn.

Os na allwch lawrlwytho neu argraffu’r ffurflen gais, gallwch ofyn i ffurflen gael ei hanfon atoch.

Mae’r gwasanaeth hwn dim ond ar gael os ydych yn byw yng Nghymru, Lloegr a’r Alban. Mae proses wahanol os ydych yng Ngogledd Iwerddon.

Darganfyddwch sut i ofyn am ffurflen gais yng Ngogledd Iwerddon

Archebwch ffurflen gais

Cyhoeddwyd ar 1 October 2013
Diweddarwyd ddiwethaf ar 3 April 2024 + show all updates

3 April 2024
Updated the Test Period tables. They now cover the period from August 2023 to December 2025.
23 November 2023
Updated Maternity Allowance claim form and notes sheet for the Maternity Allowance claim form (English and Welsh), with new return address.
3 July 2023
Removed the message that there was a problem with the 'order a Maternity Allowance claim form online' service on 7 June 2023.
19 June 2023
Added a message that there was a problem with the 'order a Maternity Allowance claim form online' 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.
1 March 2023
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.
27 January 2023
Added new versions of the Maternity Allowance claim forms in English and Welsh.
21 November 2022
Added Maternity Allowance - Test Period tables from October 2022 to December 2024 (HTML and PDF) - Welsh.
17 October 2022
Added Test Period tables from October 2022 to December 2024 (HTML and PDF).
10 September 2021
Added information on how to order a claim form in Northern Ireland.
3 September 2021
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.
16 August 2021
Updated the Test Period table with dates for the week that includes the date you expect to have your baby up to December 2022.
1 October 2020
Updated the Test Period table with dates for the week that includes the date you expect to have your baby up to December 2021.
11 March 2020
Added accessible version of test period table. It has also been updated following feedback of some incorrect dates.
28 August 2019
Added Test Period tables for 2019 to 2020.
26 April 2019
Added Test Period tables from 2018 to 2019.
25 April 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).
3 May 2018
Published an English version of the notes sheet, that was previously part of the claim form, as a separate document.
3 October 2017
Updated the Welsh version of the Maternity Allowance claim form with new test period tables covering 2018 to 2019.
2 October 2017
Updated the English versions of the Maternity Allowance claim form with new test period tables covering 2018 to 2019.
4 May 2016
Replaced all 3 versions with March 2016 editions.
10 October 2014
Replaced the interactive and print versions of the form with October 2014 editions.
1 October 2013
First published.

Ffurflen gais Lwfans Mamolaeth

Applies to England, Scotland and Wales

Dogfennau