If you can’t claim online, download and complete the Notes and Claim for Bereavement Payment of Parental Leave Pay and Family Assistance form.
In cases of stillbirth and infant death, your maternity hospital or registered midwife will give you with the Bereavement Declaration. This will include a declaration for your attending doctor or midwife to complete.
If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.