| Enter Employee's Name |
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Enter the Sunday at the
start of the week the baby is expected
(as dd/mm/yyyy) |
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| Qualifying Week (Sunday) |
From |
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To |
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| Employee must have been
employed on or before SATURDAY |
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| MATB1 cannot be accepted if
signed before |
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| Earliest week that Maternity
Pay and Leave can normally start on |
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| the 11th week SUNDAY |
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| If Employee is absent from work
due to a pregnancy-related illness leave/pay
could start on or after |
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| the 6th week SUNDAY |
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| Is the person Weekly or Monthly
Paid? |
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Weekly Monthly |
| ŠAll rights reserved. |
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