Every insured woman claiming maternity benefit before confinement shall submit to the appropriate Branch Office by post or otherwise-
(i) a certificate of expected confinement in form 18 given in accordance with these regulations, not earlier than fifteen days before the expected date of confinement;
(ii) a claim for maternity benefit in Form 19 stating therein the date on which she ceased or will cease to work for remuneration ; and
(iii) within thirty days of the date on which her confinement takes place, a certificate of confinement in Form 18 given in accordance with these regulations.
Maternity/Pregnancy
Women Employees
Form 21 - Regulation 89-A : Maternity Benefit Death Certificate (Old Form 24-B)
Form 22 - Regulation 95-E : Funeral Expenses Claim Form (Old Form 25-A)
Form 23 - Regulation 107 : Certificate for Permanent Disablement Benefit (Old Form 26)
