Users can find the form of annual information of factory/establishment covered under ESI Act. You must read the form carefully and fill up according to instructions provided in the form.
Related Links
Related Links
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ESIC Form-11 for furnishing accident details
Users can get the Form-11 to furnish accident injury details. This form is provided by the Employees' State Insurance Corporation, Ministry of Labour and Employment, Government of India.
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ESIC Form-12 for seeking Accident Report from Employer
The Employees' State Insurance Corporation Form-12 for seeking Accident Report from Employer is available. Users must read the details as provided in the form and fill up as per the given instructions by the Employees' State Insurance Corporation, Ministry of Labour and Employment, Government of India.
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ESIC Form-24 Declaration and Certificate for Dependents Benefit
The ESIC Form-24 for claiming the Declaration and Certificate for Dependents Benefit is available for users. The Form-24 is provided by the Employee’s State Insurance Corporation (ESIC), Ministry of Labour and Employment, Government of India.
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ESIC Form-23 Life Certificate for Permanent Disablement Benefit
The ESIC Form-23 for Life Certificate for Permanent Disablement Benefit 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-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-15 claim for dependent benefit by ESIC
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.
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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.