Maternity Benefit Rules, 1961 - Form L

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[See rule 16]

1. Name of 1[the mine or circus]

2. Situation of 1[the mine or circus]
Nearest Railway Station

3. Date of opening of l[the mine or circus]

4. Date of closing, if closed.

5. Postal address of 1[the mine or circus]

6. Name of employer.
       Postal address of managing agent

7. Name of managing agent, if any.
       Postal address of managing agent.

8. Name of Agent or representative of employer.
       Postal address of representative of employer.

9. Name of Manager
       Postal address of manager

(a) Name of medical officer, attached to 1[the mine or circus]
(b) Qualification of medical officer attached to 1 [the mine or circus]
(c) Is he resident at 1[the mine or circus]?
(d) If a part-time employee, how often does he pay visits to 1[the mine or circus]

(a) Is there any hospital at 1[the mine or circus]?
(b) If so, how many beds are provided for women employees?
(c) Is there a lady doctor?
(d) If so, what are her qualifications?
(e) Is there a qualified midwife?
(f) Has any crèche been provided?

(a) Signature of employer


Subs. by G.S.R. 59(E), dated 27th February, 1975 (w.e.f. 1-3-1975)


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bobbyhelp, India

Hi all, please help me how to fill the form A document need to help very urgent

vijaya54, India

Has the Indian Law been amended for maternity leave? can you please provide the section and law details if so. I came to know that the government has mandated a 6 months maternity leave. Please advice.

binay26061978, India

is maternity act applicable to construction industry

HRDExe, India

Maternity act is applicable to the certain staff engaged by our establishmenton on contrcatual basis. My question is

whether this benfit is payable to the employee if she does not join after availing the maternity leave for which she is entitled for. And if she resigned from the estblishment after the expiry of the said leave, what will be the date of relieving? the day she last attended the establishment or the date on which the maternity leave ended. Please clarify.

Goswami, Admn Officer

marchall, United States

Please help me understand this works with companies that use Recruiting agencies to fulfill contingent labor needs? Are they responsible for paying the contractor maternity leave payout? Or would that be the responsibility of the agency that the work is actually employed by?

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