318.751 - Supplementary Maternity Allowance Application Form
For the attention of applicants with multiple employers
Maternity allowance applicants must provide details of all their employers
(Form 318.750). Claimants with multiple employers must complete the present supplementary application form for each of her employers and send it, together with the main application form, to one compensation fund
. Multiple maternity allowance claims are not permitted.
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 boxes.
The assessment of your application shall comply with the following legislation: