Application for payments from the Maternity/Paternity Leave Fund

• Each of the parents needs to complete his or her own form.

Applicant info

1. Name *

1.1 National ID number *

2. Address *

2.1 Postal code *

2.2 Municipality *

3. Home phone / Mobile phone / Work phone *

4. I wish to receive *

letters/messages from Fæðingarorlofssjóður by e-mail, cf. section 3
letters/messages from Fæðingarorlofssjóður by regular post

3.1 E-mail address *

5. Name of the other parent

5.1 National ID number of other parent

6. Birth, primary adoption and permanent foster care

a) Independent entitlement in months.

b) Joint entitlement in months

c) One parent

d) Multiples

Entitlement

7. Stillbirth or misscarriage

8. Information regarding bank accounts, pension funds, private pension funds and trade unions:

Bank number *

HB *

Account number *

Pension fund *

Pension fund division (if applicable)

Private pension fund

% of payments

Trade union

9. Required documents. (Documents can be submitted after an application has been sent by using the form for additional documents. Please note that application cannot be fully processed until the required documents have been submitted ).

Notification of maternity/paternity leave arrangement (form available on the Maternity/Paternity Leave Fund website).

Copies of pay slips 1

Copies of pay slips 2

Certificate of the expected date of delivery of the child if applicable (obtained from the midwife)

A self-employed parent needs to submit a confirmation of a reduction or stoppage to calculated remuneration if applicable (obtained from the RSK-Directorate of Internal Revenue).

If a parent wishes to use personal tax credit at the Maternity/Paternity Leave Fund, the form" Claim for personal tax credit” needs to be submitted before the 20th day of the month it is intended to be used for

10. If parents are not married or in a registered cohabitation they need to submit:

„Confirmation of the access rights of a parent who does not have custody"

The signature of the custodial parent as well as a birth certificate of the child issued by Registers Iceland (Þjóðskrá Íslands) which attests to the paternity of the child.

OR

An agreement on joint custody attested by the district commissioner’s office (Sýslumaður)

11. Other information that the applicant wishes to include

Other information that the applicant wishes to include

I hereby confirm to the best of my knowledge that the information provided is true and accurate. *

By my signature I confirm that I am aware that the Directorate of Labour will gather any necessary information from the Directorate of Internal Revenue’s files in the execution of the act including calculation of payments and monitoring. *

Please note if you need to get more documents to Fæðingarorlofsjóður please use the form for additional documents.

Application for payments from the Maternity/Paternity Leave Fund

OR

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