Maternity Allowance Regulations (Amendment) (Cth)

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STATUTORY RULES

1934. No. 126.

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REGULATION UNDER THE MATERNITY ALLOWANCE ACT 1912-1934.*

I, THE GOVERNOR-GENERAL in and over the Commonwealth of Australia, acting with the advice of the Federal Executive Council, hereby make the following Regulation under the Maternity Allowance Act 1912-1934.

Dated this eighth day of October, 1934.

ISAAC A. ISAACS

Governor-General.

By His Excellency’s Command,

R. G. CASEY

for Treasurer.

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Amendments of the Maternity Allowance Regulations.

Form A and Form B in the Maternity Allowance Regulations are repealed and the following Forms inserted in their stead:—

The information in this Form is confidential.
FORM A.

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Commonwealth of Australia.

Maternity Allowance.

CLAIM BEFORE THE BIRTH.

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To the Deputy Commissioner of Maternity Allowances.

I, ............................................................................................................. at present residing at

(Here write full name.)

................................................................................................... expect to give birth to a child

(Here write full postal address.)

within three months after this date, and I authorize.....................................................................

(Here write full name.)

of.................................................................................... to claim and receive on my behalf the

(Here write full postal address.)

maternity allowance which will become payable by the Commonwealth on the birth of my child. According to present expectation my place of confinement will be....................................................................................

(Here write full postal address.)

My usual place of residence is.........................................................................................................

(Here write full postal address of usual residence.)

_________________________________________________________________________________

* Notified in the Commonwealth Gazette on 11th October, 1934.

Statutory Rules 1926, No. 172, as amended by Statutory Rules 1931. No. 92.

4009.—Price 3d.

I am the mother of the following children who are alive and are under fourteen years of age:—

Full name of child.

Date of birth.

Place of birth.

Strike out words which are not applicable.

I am an inhabitant of the Commonwealth or *I intend to settle in the Commonwealth. I am not an alien, and I am not an aboriginal native of Australia, Papua, or an island of the Pacific.

During the period of twelve months preceding the date of this claim, the income of myself and my husband from all sources amounted to £...........................................................................................................

The names and addresses of the persons from whom my husband or myself derived the above-mentioned income are....................................................................................................................................................

....................................................................................................................................................

Signature of mother..................................................

(Or her mark if she cannot write.)

Date of signature or mark..........................................

Signature of witness to mark.....................................

(The witness must not be the person authorized to claim and receive the maternity allowance.)

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To the Deputy Commissioner of Maternity Allowances.

I,................................................................................................................................ residing at

(Here write full name.)

........................................................................................................ being the person authorized

(Here write full postal address.)

above, hereby claim payment of the maternity allowance on behalf of the above-named.................. who I have good reason to

(Here write full name of mother.)

believe gave birth to a............................................................ child at………………..................

(Here write “male” or “female.”) (Here write full postal address.)

on the............................................day of………………....................., 19..…, and was attended

at or soon after the birth, by Doctor..............................................................................................

(Here write full name and address.)

and by............................................................................................................................ I desire

(Here write full name and address of midwife or other person acting as such.)

that the money order be made payable to me at the Post Office at..................................................

The child..................................................................

(State here whether the child lived for more than twelve hours or less than twelve hours, or was still-born.)

The birth was registered at...........................................................................................................

Full name of child.......................................................................................................................

(If child not named, say so.)

Signature or mark of person

.......................................................

authorized to claim

........................................................

Occupation..................................................................................

Date of signature or mark.............................................................

Signature of witness to mark.........................................................

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Income includes salary or wages, rents (after deduction of repairs, &c.), dividends from books or companies, interest on money lent or on bonds or on money in bank, war pension, and any other income. In the case of a posthumous, or ex-nuptial child the total income of the claimant only, for the twelve months preceding the date of the claim is to be shown.

Any person who makes or presents to the Commissioner or to any of officer any statement or document which is false in any particular is liable to a penalty not exceeding One hundred pounds or imprisonment for a term not exceeding one year.

F orm B.

“The information in this Form is confidential.

COMMONWEALTH OF AUSTRALIA.

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Maternity Allowance.

CLAIM AFTER THE BIRTH.

____

To the Deputy Commissioner of Maternity Allowances.

I................................................................................................................. at present residing at

(Here write full name.)

............................................................................................................................ gave birth to a

(Here write full postal address.)

................................................ child at......................................................................................

(Here write “male” or “female”) (Here write full postal address.)

on the……………….....................day of.........................................., 19....My usual place of residence is…………………………………………………………………………………………………………

(Here write full postal address of usual residence.)

I hereby claim payment of a maternity allowance and I request that the money order be made payable at

(Here write name of Post Office where it is desired to receive payment.)

Post Office, and that it be forwarded to me at the following address, namely,

..................................................................................................................................................

(Here write full postal address to which it is desired the money order be sent.)

I was attended at or soon after the birth by Doctor........................................................................

....................................................................................................................................... and by

(Here write full name and address.)

..................................................................................................................................................

(Here write full name and address of midwife or other person acting as such.)

I am the mother of the following children who were alive and were under fourteen years of age at the date of the birth of the child in respect of whom this claim for a maternity allowance is made:—

Full name of child.

Date of birth.

Place of birth.

* Strike out words which are not applicable.

*I am an inhabitant of the Commonwealth or *I intend to settle in the Commonwealth. I am not an alien, and I am not an aboriginal native of Australia, Papua, or an island or the Pacific.

During the period of twelve months preceding the date of the birth of the child, the income of myself and my husband from all sources amounted to £..................................................................................................

The names and addresses of the persons from whom my husband or myself derived the above-mentioned income are..................................................................................................................................................

..................................................................................................................................................

The child............................................................................................................................

(State here whether the child lived for more than twelve hours or less than twelve hours, or was still-born.)

The birth was registered at...........................................................................................................

Full name of child (if not named, say so)......................................................................................

Signature of mother...........................................................
(Other mark if she cannot write.)
Date of signature or mark...................................................
Signature of witness to mark..............................................

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Income includes salary or wages, rents (after deduction of repairs. &c.), dividends from banks or companies, interest on money lent or on bonds or on money in bank, war pension, and any other income. In the case of a posthumous or ex-nuptial child, the total income of the claimant only, for the twelve months preceding the date of the birth is in be shown.

Any person who makes or presents in the Commissioner or in any officer any statement or document which is false in any particular in liable to a penalty not exceeding one hundred pounds or imprisonment for a term not exceeding one year.”

____________________

By Authority: L. F. Johnston, Commonwealth Government Printer, Canberra.

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Maternity Allowance Regulations (Amendment) (Cth)

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