{
  "url": "https://openlegislation.uk/statutory-maternity-pay-medical-evidence-regulations-1987/schedule/part-II",
  "json_url": "https://openlegislation.uk/statutory-maternity-pay-medical-evidence-regulations-1987/schedule/part-II.json",
  "legislation": "uksi/1987/235",
  "legislation_title": "The Statutory Maternity Pay (Medical Evidence) Regulations 1987",
  "legislation_url": "https://openlegislation.uk/statutory-maternity-pay-medical-evidence-regulations-1987",
  "path": "schedule/part/II",
  "kind": "part",
  "number": "II",
  "heading": "FORM OF CERTIFICATE",
  "text": "MATERNITY CERTIFICATE\nPlease fill in this form in ink\nName of patient\nFill in this part if you are giving the certificate before the confinement.\nFill in this part if you are giving the certificate after the confinement.\nDo not fill this in more than 20 weeks before the week the baby is expected.\nI certify that I attended you in connection with the birth which took place on ......./........../........when you were delivered of a child [ ] children.\nI certify that I examined you on the date given below. In my opinion you can expect to have your baby in the week that includes ......./........../........\nIn my opinion your baby was expected in the week that includes ......./........../........\nWeek means a period of 7 days starting on a Sunday and ending on a Saturday.\nDate of examination ......../........../........\nRegistered midwives\nDate of signing ......./........../........\nPlease give your NMC Personal identification Number and the expiry date of your registration with the NMC . _________________\n_________________\n___________________________________\nSignature:\nDoctors\nPlease stamp your name and address here (unless the form has been stamped, in Wales, by the Local Health Board in whose medical performers list you are included or, in Scotland, by the Health Board in whose primary medical services performers list you are included).\n______________________________",
  "extent": "E+W+S+N.I.",
  "status": null,
  "version": "current",
  "annotations": [
    {
      "type": "F",
      "label": "F1",
      "text": "Sch. Pt. II substituted (1.11.1991) by The Social Security (Miscellaneous Provisions) Amendment Regulations 1991 (S.I. 1991/2284), regs. 1, 24"
    },
    {
      "type": "F",
      "label": "F2",
      "text": "Words in Sch. Pt. II substituted (28.9.2001) by The Social Security (Medical Evidence) and Statutory Maternity Pay (Medical Evidence) (Amendment) Regulations 2001 (S.I. 2001/2931), regs. 1, 3(3)(a)"
    },
    {
      "type": "F",
      "label": "F3",
      "text": "Word in Sch. Pt. II substituted (1.8.2004) by The Health Act 1999 (Consequential Amendments) (Nursing and Midwifery) Order 2004 (S.I. 2004/1771), art. 1(1), Sch. para. 51(b)"
    },
    {
      "type": "F",
      "label": "F4",
      "text": "Words in Sch. Pt. II substituted (1.4.2013) by The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013 (S.I. 2013/235), art. 1(2), Sch. 2 para. 9(3)"
    },
    {
      "type": "F",
      "label": "F5",
      "text": "Words in Sch. Pt. II substituted (E.S.N.I.) (1.4.2004, (further amended (W.) (S.I. 2004/1016)Sch. 1 para. 5)) by The General Medical Services and Personal Medical Services Transitional and Consequential Provisions Order 2004 (S.I. 2004/865), art. 1(1), Sch. 1 para. 5"
    }
  ],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/uksi/1987/235/schedule/part/II",
    "retrieved_at": "2026-10-29T16:32:32.856722+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}