Maternity benefit appeal form for woman employees seeking payment or setting aside of wrongful discharge or dismissal. Appeal under sub-section (2) of section 68 is available to a woman employee who claims wrongful deprivation of maternity benefit, medical bonus, or both, or wrongful discharge or dismissal during or on account of absence from work under Chapter VI of the Code on Social Security, 2020. The appeal is made to the Competent Authority appointed under Chapter VI, states the reasons for the grievance, encloses the employer's order, and may seek payment of the amount due and/or setting aside of the discharge or dismissal order.