Form

Statutory Maternity Pay: employee not entitled – form for employers

A form for employers to fill in and give to employees who aren't entitled to Statutory Maternity Pay.

• From: Department for Work and Pensions
• Published: 1 October 2013
• Last updated: 4 December 2025 — See all updates

Documents

Employee not entitled to Statutory Maternity Pay: form for employers

Ref: SMP1

PDF, 90.3 KB, 4 pages

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

Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email accessible.formats@dwp.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Employee not entitled to Statutory Maternity Pay: form for employers you can fill in on screen, print and sign with a pen

PDF, 116 KB, 4 pages

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

Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email accessible.formats@dwp.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

This form is for employers to fill in and give to employees who aren’t entitled to Statutory Maternity Pay.

Read the Statutory Maternity Pay employer guide for more information

If you need this form in a different format

Contact the Maternity Allowance helpline to ask for:

• a printed copy of the form
• a different format, such as large print, braille or audio CD

Published 1 October 2013

Last updated 4 December 2025 + show all updates

1. 4 December 2025

   Published revised versions of forms (11/25).

2. 18 October 2019

   Added 'Employee not entitled to Statutory Maternity Pay: form for employers you can fill in on screen, print and sign with a pen'.

3. 5 February 2015

   Published revised version (11/14).

4. 5 February 2015

   Published revised version (01/14).

5. 1 October 2013

   First published.