318.750 - Maternity Allowance Application Form

In the interests of a prompt assessment of your application, we kindly request that you ensure that the information you provide is accurate and complete. Please mark the appropriate box.

You should submit the completed and signed application form, together with all necessary accompanying documentation, to:

• your employer if you are a salaried employee; 
• the compensation fund in charge of the collection of contributions or the cantonal social security office, if you are self-employed; 
• your last employer if you are unemployed; 
• to a compensation fund if none of above three categories apply to you. 

Additional information

• See information sheet 6.02 on maternity benefits; 
• From your compensation fund. A list of addresses can be found at www.ahv-iv.ch. 

The assessment of your application shall comply with the following legislation:

• Federal Act of 25 September 1952 on the Compensation for Loss of Earnings during Military Service, Civilian Service, Community Service or Maternity (Compensation for Loss of Earnings Act, EOG).
• Federal Ordinance of 24 November 2004 on the Federal Compensation for Loss of Earnings Act (EOV).

Paper version for print

If you want to fill in the form by hand, you can use the below PDF file. This version can not be completed online.