There are reliability issues with some assistive software, which may mean the form will not save properly. This means that you do not have to fill in the form in one session.

You can save data typed into this form if you use a PDF reader.

As you complete the form, you will be guided through the questions based on the responses you provide.ĭo not use your computer’s browser or, if you are an Apple Macintosh user, the Preview application. 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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