If you are using screen reader software to access the form, we recommend that you review all of the notes and the questions on the form before you complete it. You can download a free PDF reader online. Use a PDF reader to open and fill in this form. If you’re using a desktop or laptop computer You cannot complete the form using a mobile phone or tablet. Before you start this form If you’re using a mobile phone or tablet Use the Test Period calculator to find out these dates. Your Test Period is the 66 weeks before the week you expect to have your baby.
You’ll need to include your Test Period dates in the claim form.
Get more information about eligibility and how to claim.
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