Maternity Allowance Regulations (Cth)

STATUTORY RULES.

1926. No. 172.

REGULATIONS UNDER THE MATERNITY ALLOWANCE ACT 1912-1926.

I, THE GOVERNOR-GENERAL in and over the Commonwealth of Australia, acting with the advice of the Federal Executive Council, hereby make the following Regulations under the Maternity Allowance Act 1912-1926 to come into operation forthwith.

Dated this seventeenth day of December, 1926.

STONEHAVEN,

Governor-General.

By His Excellency’s Command,

THOS. W. CRAWFORD,

for Treasurer.

Maternity Allowance Regulations.

Short title.

1. These Regulations may be cited as the Maternity Allowance Regulations.

Maternity allowance claims.

2. (1.) Any person claiming a maternity allowance shall deliver or send to the Deputy Commissioner of Maternity Allowances for the State in which the birth occurred—

(a)a maternity allowance claim in accordance with Form A if the claim is made by a person authorized by the mother to claim on her behalf, or in accordance with Form B if the claim is made by the mother;

(b) a certificate in accordance with Form C signed by the doctor or midwife who attended at the birth; and

(c) a certificate of registration of birth in accordance with Form D.

(2.) Where the claimant was attended at the birth by a doctor the certificate in accordance with Form C shall be signed by the doctor. If the claimant was not attended by a doctor the certificate shall be signed by the midwife. If the claimant was not attended by a doctor or a midwife the certificate may be signed by the person who attended the mother, but in that case the following words shall be inserted above the signature “The mother was not attended by either doctor or midwife.”

Registrars of births.

3. (1.) Any person now or hereafter authorized to register births under State laws shall be a Commonwealth Registrar for the purpose of registering births in connexion with claims under the Maternity Allowance Act 1912-1926.

(2.) Any person now or hereafter authorized to register births in the Northern Territory or in the Territory for the Seat of Government shall be a Commonwealth Registrar for the purpose of registering births in connexion with claims under the Maternity Allowance Act 1912-1926.

C.16813.—Price 3d.

Repeal.

4. The Regulations under the Maternity Allowance Act 1912, being Statutory Rules 1913, No. 298, and Statutory Rules 1913, No. 299, are repealed as from the commencement of these Regulations.

 

The information in this Form is confidential. Form A.

COMMONWEALTH OF AUSTRALIA.

——

Maternity Allowance.

Before this Form is filled in, the notes on the back hereof should be read carefully.

CLAIM BEFORE THE BIRTH.

To the Deputy Commissioner of Maternity Allowances.

I,  at present residing at

(Here write full name.)

expect to give birth to a

(Here write full postal address.)

child 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.)

Either 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.

Signature of Mother

(Or her mark if she cannot write.)

Date of signature or mark

Witness to mark	Signature
	Full postal address
	Occupation

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

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 sum of Five Pounds on behalf of the above-named

whom I have good reason to believe gave birth

(Here write full name of mother.)

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 that

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

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 of ditto

Date of signature or mark

Witness to mark	Signature
	Full postal address
	Occupation

 

Notes to be Carefully Studied Before Filling in the Claim on the other Side Hereof.

——

1. Every claim for the maternity allowance must be sent to the Deputy Commissioner of Maternity Allowances within three months after the birth.

2. Three documents are required to support a claim for payment of Maternity Allowance, namely:—

(1) Claim Before the Birth (Form A);

or,

Claim After the Birth (Form B).

(2) Certificate of Doctor or Midwife (Form C).

(3) Certificate of Registration of Birth (Form D).

3. A woman may, before the birth, authorize any person to claim payment on her behalf. In this case the “Claim Before the Birth” (Form A) should be used. Thus the signing of forms during the period of confinement may be avoided. The woman may, however, at any time within three months after the birth, fill in a “Claim After the Birth” (Form B). If Form A is used, the money order will be sent to the person appointed by the woman to claim payment, but if Form B is used the money order will be sent to the woman herself. Only one allowance of £5 is payable where more than one child is born at one birth.

4. The papers should not be completed until twelve hours have elapsed after the birth except in the case of the Certificate of Doctor or Midwife (Form C), which may be completed at any time after the birth. The claimant should clearly state in her claim whether the child lived for more or less than twelve hours, or was still-born. In respect of a still-born child, or a child which dies within twelve hours after birth, payment will be made only on the Certificate of a Doctor (Form C), except where the Deputy Commissioner is satisfied that no doctor was available to attend the case.

5. If a doctor attended the mother, the Certificate (Form C) will not be accepted if signed by any person other than the doctor. If no doctor attended the mother, a midwife’s signature will be accepted on the Certificate (Form C). If neither doctor nor midwife attended the mother, the Certificate (Form C) may be signed by the person who attended the mother. Any case of birth in which the mother was not attended will be specially dealt with on the facts being reported to the Commissioner or Deputy Commissioner of Maternity Allowances.

6. All the forms, an envelope duly addressed to the Deputy Commissioner of Maternity Allowances, and the Certificate of Registration of Birth (Form D) may be obtained, free of charge, from the local Registrar of Births, at the time of registration.

Jane	her	Smith
	X
	mark

7. The three documents referred to in paragraph 2 above should be sent to the Deputy Commissioner of Maternity Allowances. Postage must be pre-paid by the sender, but no stamp should be enclosed for the reply. On receipt of the forms, the Deputy Commissioner, if satisfied, will, within a week, send a money order by post to the mother or the person authorized by her to receive payment. If not satisfied, the Deputy Commissioner will advise as to the cause of the delay, and any claimant not receiving a money order or a communication from the Deputy Commissioner as soon as it may reasonably be expected should communicate with the Deputy Commissioner.

8. A mark duly made and witnessed reads thus:—

 

Date of mark—10th December, 1926.

Witness to mark	Signature—Mary Brown.
	Full postal address—31 Bull Street, Hobart.
	Occupation—Dressmaker.

9. Any person who makes or presents to the Commissioner or to any officer any statement or document which is false in any particular is liable to a penalty of One hundred pounds or imprisonment for one year.

Form B.

The information in this Form is confidential.

COMMONWEALTH OF AUSTRALIA.

Maternity Allowance.

Before this Form is filled in, the Notes on the Back hereof should be read carefully.

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 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 to be sent.)

I was attended at or soon after the birth by Doctor

(Here write full name and address.) and by

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

Either 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

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

(Or her mark if she cannot write.)

Date of signature or mark

Witness to mark	Signature
	Full postal address
Occupation

[over

 

Notes to be Carefully Studied Before Filling in the Claim on the other Side Hereof.

——

1. Every claim for the maternity allowance must be sent to the Deputy Commissioner of Maternity Allowances within three months after the birth.

2. Three documents are required to support a claim for payment of maternity allowance, namely

(1) Claim Before the Birth (Form A);

or,

Claim After the Birth (Form B).

(2) Certificate of Doctor or Midwife (Form C).

(3) Certificate of Registration of Birth (Form D)

3. A woman may, before the birth, authorize any person to claim payment on her behalf. In this case the “Claim Before the Birth” (Form A) should be used. Thus the signing of forms during the period of confinement may be avoided. The woman may, however, at any time within three months after the birth, fill in a “Claim After the Birth” (Form B). If Form A is used, the money order will be sent to the person appointed by the woman to claim payment, but if Form B is used the money order will be sent to the woman herself. Only one allowance of £5 is payable where more than one child is born at one birth.

4. The papers should not be completed until twelve hours have elapsed after the birth except in the case of the Certificate of Doctor or Midwife (Form C), which may be completed at any time after the birth. The claimant should clearly state in her claim whether the child lived for more or less than twelve hours, or was still-born. In respect of a still-born child, or a child which dies within twelve hours after birth, payment will be made only on the Certificate of a Doctor (Form C), except where the Deputy Commissioner is satisfied that no doctor was available to attend the case.

5. If a doctor attended the mother, the Certificate (Form C) will not be accepted if signed by any person other than the doctor. If no doctor attended the mother, a midwife’s signature will be accepted on the Certificate (Form C). If neither doctor nor midwife attended the mother, the Certificate (Form C) may be signed by the person who attended the mother. Any case of birth in which the mother was not attended will be specially dealt with on the facts being reported to the Commissioner or Deputy Commissioner of Maternity Allowances.

6. All the forms, an envelope duly addressed to the Deputy Commissioner of Maternity Allowances, and the Certificate of Registration of Birth (Form D) may be obtained, free of charge, from the local Registrar of Births, at the time of registration.

7. The three documents referred to in paragraph 2 above should be sent to the Deputy Commissioner of Maternity Allowances. Postage must be pre-paid by the sender but no stamp should be enclosed for the reply. On receipt of the forms, the Deputy Commissioner, if satisfied, will, within a week, send a money order by post to the mother or the person authorized by her to receive payment. If not satisfied, the Deputy Commissioner will advise as to the cause of the delay, and any claimant not receiving a money order or a communication from the Deputy Commissioner as soon as it may reasonably be expected should communicate with the Deputy Commissioner.

Jane	her	Smith
	X
	mark

8. A mark duly made and witnessed reads thus:—

 

Date of mark—10th December. 1926.

Witness to mark	Signature—Mary Brown.
	Full postal address—31 Bull Street, Hobart.
	Occupation—Dressmaker.

9. Any person who makes or presents to the Commissioner or to any officer any statement or document which is false in any particular is liable to a penalty of One hundred pounds or imprisonment for one year.

 

Form C.

COMMONWEALTH OF AUSTRALIA.

Maternity Allowance.

CERTIFICATE OF DOCTOR OR MIDWIFE.

If the mother was not attended by a doctor or a midwife, this Certificate may be signed by the person who attended the mother, but in that case, the following words must be written above the signature where the asterisk (*) appears, viz.:—“The mother was not attended by either doctor or midwife.”

Payment will be made in respect of a still-born child, or a child which dies within twelve hours after birth, only on the Certificate of a doctor,except where the Deputy Commissioner is satisfied that no doctor was available to attend the case.

Note.—A maternity allowance cannot be paid unless the claim is made within three months after the birth.

 

To the Deputy Commissioner of Maternity Allowances.

I certify that on the day of 19 

gave birth to a

(Here write full name of mother.)

child at

(Here write “male” or “female.”)(Here write place of birth.

The child was

(Here write “born alive,” or “still-born.”)

At the time of birth the child had developed for a period of at least (here write number) full calendar months.

(*)

Signature (or mark)

Occupation

Full Postal Address

Date

Witness to mark	Signature
	Occupation
	Full Postal Address

Any person who makes or presents to the Commissioner or to any officer any statement or document which is false in any particular, is liable to a penalty of One hundred pounds, or imprisonment for one year.

 

Form D.

COMMONWEALTH OF AUSTRALIA.

Maternity Allowance.

CERTIFICATE OF REGISTRATION OF BIRTH.

Surname of Mother

Christian Name of Mother

Date of Mother’s Birth

Place of Mother’s Birth

Maiden Name of Mother

Full Name of Father

Place of Father’s Birth

Date of Marriage Place of Marriage

Christian Name of Child

(If not named, say so.)

Date of Child’s Birth

Place of Child’s Birth

(Give full Postal Address.)

Whether born alive or still-born

If born alive, did child live for at least twelve hours?

Name of Doctor who attended the mother

Address of ditto

Name of Midwife (or person who acted as Midwife)

Address of ditto

Signature of person giving information as above to Registrar of Births

Address of ditto

Signature

Commonwealth Registrar of Births at

Date

The Registrar may accept information relating to the birth from any person whose information may be accepted for registration purposes under the law of the State.

On registration of any birth the Registrar should give, free of charge, to the person registering the birth a certificate on this form. This Certificate, being given by the Commonwealth Registrar of Births, may be signed by the registering officer no matter whether the officer has, or has not, authority to issue a copy of the State registration.

It will be noticed that births of still-born children may be registered on this form.

Any person who makes or presents to the Commissioner or to any officer any statement or document which is false in any particular, is liable to a penalty of One hundred pounds, or to imprisonment for one year.

——

(Back of Form.)

SEE OTHER SIDE.

Note.—A maternity allowance cannot be paid unless a claim is made within three months after the birth.

 

Printed and Published for the Government of the Commonwealth of Australia by H. J. Green, Government Printer for the State of Victoria.