Notice of claim for maternity benefit, content of Form XI
A single format from the Maternity Formats pack. Form XI, SS (Central) Rules 2026 · Chapter VI.
- 2 pages
- 40
- Word and PDF
- 12 September 2026
What it covers
- 1Notice of claim for maternity benefit, content of Form XIForm XI, SS (Central) Rules 2026 · Chapter VI
Read the opening
The first part of the format, as it downloads. Blanks are highlighted.
Given by the employee to the employer before the absence begins, or as soon as practicable
To
The Authorised Officer
[Company Name] Private Limited
[Address of the establishment]
Date: [Date of the notice of claim]
NOTICE OF CLAIM FOR MATERNITY BENEFIT UNDER CHAPTER VI OF THE CODE ON SOCIAL SECURITY 2020