Apply for an advance of Statutory Maternity Pay (SMP)

*indicates required information

Select the (?) icons for help completing this form.

To apply then the total SMP can't exceed 39 weeks.

If SMP spans 2 tax years, you need to provide separate calculations for the amount and number of weeks in each tax year. Use a new form for each claim if you need to claim SMP for more than one employee.

Which HM Revenue and Customs (HMRC) Accounts Office deals with your PAYE record? Please select one box below.

Accounts Office reference:*  

Employer's PAYE Reference:*  

Contact telephone number (including area code):*  

Full contact name:*  

Email address:*  

Date business started:*  

dd/mm/yyyy

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Account details

Our preferred method of payment is by Bacs as this is the most secure.

Please select the box below if you prefer your payment by Payable Order.

Please note: This will take longer than a payment direct to your bank account.

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Employee details

Date started employment:*  

dd/mm/yyyy

Please select the box below if the employee is subject to Transfer of Undertakings (Protection of Employment) (TUPE) in the last 2 years?

The form MAT B1 Maternity Certificate will show the date when it's expected the child will be born. Please enter that date in the box below. Also please enter the actual date of birth if the baby was born early.

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Please note: You only need to enter the number of weeks of SMP you are claiming in this tax year to 5 April.

If your funding claim spans 5 April you need to separate it into 2 separate claims. You can do this at the same time by completing both sections below – 'Current tax year' and 'New tax year'. In this case enter 5 April and the year in Box (c) and 6 April and the year in Box (1).

If the rates for the new tax year are not yet available you can use the current rates. HMRC will recalculate it before sending out the payment.

The same method of payment will be used for both amounts and, in the case of a bank transfer, the same account details will be used.

Current tax year

b. Date SMP started:  

dd/mm/yyyy

c. Last date of claim in this year up to 5 April:  

dd/mm/yyyy

d. Earnings Related Rate (ERR) payable (£):  

e. Number of weeks at ERR in this tax year:  

f. Total ERR payable (d × e) (£):  

g. Standard Rate (SR) payable (£):  

h. Number of weeks at SR this tax year to 5 April:  

i. Total SR payable (g × h) (£):  

j. Subtotal of claim (f + i) (£):  

k. Compensation at 3% of Box (j) (£):  

l. Total amount paid (j + k) (£):  

m. Less any tax/NIC deducted (£):  

n. Total amount to be paid (l - m) (£):  

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New tax year

1. Start date of claim in this year:  

dd/mm/yyyy

2. Last date of claim in this year:  

dd/mm/yyyy

3. Earnings Related Rate (ERR) payable (£):  

4. Number of weeks at ERR in this tax year:  

5. Total ERR payable (3 × 4) (£):  

6. Standard Rate (SR) payable (£):  

7. Number of weeks at SR in this tax year:  

8. Total SR payable (6 × 7) (£):  

9. Subtotal of claim (5 + 8) (£):  

10. Compensation at 3% of Box (9) (£):  

11. Total amount paid (9 + 10) (£):  

12. Less any tax/NIC deducted (£):  

13. Total amount to be paid (11- 12) (£):  

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After you click the 'Next' button you will see a preview page summarising the information you have provided. If this page is not displayed, please use the scroll bar to locate any missing or incorrect entries highlighted in red.

Remember to send an Employer Payment Summary (EPS) for each pay period you reclaim statutory payments.