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 Maternity Benifits Application Form 2013

Maternity Benifits Application Form 2013

Use a Maternity Benifits Application Form 2013 template to make your document workflow more streamlined.

In Parts 1, 2, 3, 5, 7 and 8 as they apply to you. When form is completed, read Part 9 and sign declaration in Part 1. Please note photocopies of this declaration are not acceptable. To qualify for the maximum period of 26 weeks maternity leave, an employee must take at least 2 weeks before the end of the week in which her baby is due. Doctor: Please complete and stamp Part 6 after the 24th week of pregnancy. Employer: Please complete and stamp Part 4 after the 24th week of pregnancy. If this...
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