swetha1983 (n/a) 26 December 2007

ESIC Forms

[font=""trebuchet ms""]Forms for employer

Form 01
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic_new_form01.pdf]Employer's Registration Form[/url][/color]

Form- 01A
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form01a.pdf]Annual information of factory/estt submission form [/url][/color]

Form 3
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form3.pdf]Return of Declaration forms[/url][/color]

Form 5
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form5.pdf]Return of contributions[/url][/color]

Form 5a
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form5a.pdf]Statement of advance payment of contributions[/url][/color]

Form 6
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form6.pdf]Register of employees[/url][/color]

Form 10
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form10.pdf]Abstention verification[/url][/color]

Form 11
[color=#810081][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form11.pdf]Accident Register[/url][/color]

Forms for employees [/font]

[font=""trebuchet ms""]Form 1
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic_new_form1.pdf]Declaration Form[/url][/color]

Form 2
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form2.pdf]Addition / Deletion in Family declaration form[/url][/color]

Form 9
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form9.pdf]Claim form for sickness /TDB/ Maternity[/url][/color]

Form 14
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form14.pdf]Claim form for Permanent disablement benefit (PDB)[/url][/color]

Form 15
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form15.pdf]Claim form for Dependant Benefit (DB)[/url][/color]

Form 16
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form16.pdf]Claim form for periodical payments of DB[/url][/color]

Form 19
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form19.pdf]Claim for Maternity benefit[/url][/color]

Form 20
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form20.pdf]Claim form for Maternity benefit after death of child[/url][/color]

Form 22
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form22.pdf]Claim form for Funeral Expenses [/url][/color]

Form 23
[color=#0000ff][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form23.pdf]Life certificate[/url][/color]

Form 24
[color=#810081][url=https://esicoimbatore.org/forms/esic_new_forms/esic-new-form24.pdf]Dependant benefits declaration [/url][/color][/font]

Reply Follow

10 Replies

L.C.PAL (n/a) 28 December 2007

Hi Swetha Ji,

Thank you very much for providing forms.

Regards

L.C. Pal

rajnish_sapra (n/a) 29 December 2007

goood one shs

regards

Rajnish sapra

TRUPTI (n/a) 29 December 2007

Thanks for uplaoding all forms that are essential

regards

Trupti

Naresh (n/a) 29 December 2007

Very useful Forms, thanks.

Regards,

Naresh

INDRA PRASAD (n/a) 29 December 2007

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[font=""times new roman""]Regards, [/font]

[font=""times new roman""]Prasad.......... :shock:This stranger is called so.............:D[/font]