Dependants' Benefit Labour Act 1383 Legal Draft Template
| Category | Labour Act |
| Format | Rich Text |
| File name | Dependants' Benefit-Labour Act-1383.rtf |
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Maternity Benefit
Claim Form
I……………………….. Insurance No……………wife of/daughter of…………………… here claim maternity benefit with effect from the………….day of 20……Claim Form
I hereby declare that I have ceased/shall cease to work for remuneration with effect from that date.
Present/last employer……………..
Department, shift and occupation……….
Present address……………….
Date………………..
Signature or thumb impression