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.

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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

Updates to this page

Published 1 October 2013
Last updated 18 October 2019 + show all updates
  1. Added 'Employee not entitled to Statutory Maternity Pay: form for employers you can fill in on screen, print and sign with a pen'.

  2. Published revised version (11/14).

  3. Published revised version (01/14).

  4. First published.

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