Maternity benefit appeal form under social security law sets out grounds, particulars, and signature requirements for aggrieved parties. Appeal form prescribed under the Code on Social Security, 2020 for filing an appeal before the Appellate Authority against an order of the Inspector-cum-Facilitator under section 72. It may be used by a woman employee, her legal heir or representative, or by the employer or his representative, depending on who is aggrieved by the order. The form covers denial of maternity benefit or other amount payable to a woman employee, and refusal to set aside discharge or dismissal during or on account of absence from work under Chapter VI.