Medical certificate, content of Form X
A single format from the Maternity Formats pack. Form X, SS (Central) Rules 2026 · Chapter VI.
- 1 page
- 27
- Word and PDF
- 12 September 2026
What it covers
- 1Medical certificate, content of Form XForm X, SS (Central) Rules 2026 · Chapter VI
Read the opening
The first part of the format, as it downloads. Blanks are highlighted.
To be completed by a registered medical practitioner and produced by the employee with her notice of claim
MEDICAL CERTIFICATE FOR MATERNITY BENEFIT
Part A — The employee