This form is used for your doctor to certify your maternity leave.
Please see Maternity Benefit for further information.
Medical Certificate for Maternity Benefit (MB3)
If you are self-employed or not currently employed, your doctor must complete this form after your 24th week of pregnancy.
Do not include any personal details in the box below. The information you submit will be analysed to improve the site and will not be responded to individually.
