You can find the Form-15 claim for permanent disablement benefit provided by the Employee's State Insurance Corporation (ESIC), Ministry of Labour and Employment, Government of India. Users must read the form and fill up as per the given instructions.
Related Links
Related Links
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ESIC Form-22 Funeral Expenses Claim
The ESIC Form-22 for making the Funeral Expenses Claim is available. The form is provided by the Employee’s State Insurance Corporation (ESIC), Ministry of Labour and Employment, Government of India.
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ESIC Form-20 Claim for Maternity Benefit after the death of an Insured Women leaving behind the child
The Form-20 to Claim for Maternity Benefit after the death of an Insured Women leaving behind the child is available. The form is provided by the Employee's State Insurance Corporation, Ministry of Labour and Employment, Government of India.
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ESIC Form-19 Claim for Maternity Benefit and notice of work
You can find the Form-19 to claim for Maternity Benefit and notice of work provided by the Employee's State Insurance Corporation, Ministry of Labour and Employment, Government of India.
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ESIC Form-16 claim for periodical payment of dependent benefits
You can find the Form-16 claim for permanent disablement benefit provided by the Employee's State Insurance Corporation (ESIC), Ministry of Labour and Employment, Government of India. Users must read the form carefully and fill up as per the given instructions.
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Form-14 claim for permanent disablement benefit by ESIC
You can find the Form-14 claim for permanent disablement benefit provided by the Employee's State Insurance Corporation (ESIC), Ministry of Labour and Employment, Government of India. Users must read the form and fill up as per the given instructions.
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ESIC form-32 wage/contributory record for disablement benefit
Users can find the ESIC form-32 wage/contributory record for disablement benefit provided by the Employee's State Insurance Corporation, Ministry of Labour and Employment, Government of India. You must read the form carefully and fill up as per the instructions.
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Application form for duplicate ESIC Identity Card
The form-72 for duplicate ESIC Identity Card is provided by the Employees' State Insurance Corporation. In case your Identity card is lost or defaced you can fill up this form and apply for a duplicate identity card.
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Application form for Certificate of Employment by ESIC
The Application form for Certificate of Employment is provided by the Employees' State Insurance Corporation (ESIC). Users must read the particulars in the form and fill up as per the instructions.
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ESIC Declaration form regarding payment to the legal heir/representative
The Declaration form regarding payment to the legal heir/representative of the deceased person is provided by the Employee's State Insurance Corporation, Ministry of Labour and Employment, Government of India. You must read the particulars in the form and fill up as per given instructions.
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ESIC form for certificate of entitlement
Users can find the Form for Certificate of entitlement provided by the Employees' State Insurance Corporation. You must read the particulars of the form carefully and fill up as per the instructions.
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ESIC Proforma for Survey Register
Users can find the Proforma for Survey Register provided by the Employees’ State Insurance Corporation (ESIC). You must read the particulars of the Proforma carefully and fill up as per the instructions.
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ESIC application form for change in particulars of insured persons regarding change of Branch Office/dispensary
Users can find the application form for change in particulars of insured persons regarding change of Branch Office/dispensary provided by the Employees’ State Insurance Corporation (ESIC). You must read the particulars in form carefully and fill up as per the instructions.
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ESIC form-71 for particulars of contribution in case return of contribution in respect of an IP not sent
Users can find the form-71 for giving the particulars of contribution in case return of contribution in respect of an IP not sent. The form is provided by the Employees’ State Insurance Corporation (ESIC).
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ESIC form-142 to claim for conveyance allowance and/or compensation for loss of wages
Users can find the ESIC form-142 to claim for conveyance allowance and/or compensation for loss of wages for an IP appeared before the medical board. This form is made available by the form is provided by the Employees’ State Insurance Corporation (ESIC).
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ESIC grievance registration form
You can lodge your grievance with the Employees’ State Insurance Corporation (ESIC) through this form. Users must fill up this form with details such as name, address, phone number, IP No, and grievance brief to submit it online.