Forms for employer

 

Form 01

Employers' Registration Form

Form - 01A

Annual information of factory/estt submission form

Form 3

Return of Declaration forms

Form 5

Return of contributions

Form 5a

Statement of advance payment of contributions

Form 6

Register of employees

Form 10

Abstention verification

Form 11

Accident Register

challan form

Challan Form

 

Forms for employees

 

Form 1

Declaration Form

Form 2

Addition / Deletion in Family declaration form

Form 9

Claim form for sickness /TDB/ Maternity

Form 14

Claim form for Permanent disablement benefit (PDB)

Form 15

Claim form for Dependant Benefit (DB)

Form 16

Claim form for periodical payments of DB

Form 19

Claim for Maternity benefit

Form 20

Claim form for Maternity benefit after death of child

Form 22

Claim form for Funeral Expenses

Form 23

Life certificate

Form 24

Dependant benefits declaration

 

Changes in ESIC forms

 

OLD

 

NEW

Form 01

Form-01 and Form –01-A

Form- 1

Form-1

Form- 1-B

Form-2

Form-6

Form-5

Form-6 -A

Form- 5-A

Form-7

Form-6

Form-8,9 & 10

Form-7

Form-28 & 28-A

Form-10

Form-11

Form-8

Forms – 12, 12-A, 13, 13-A, 14 & 14-A

Form-9

Form-15

Form-11

Form-16

Form-12

Form-25

Form-14

Form-17

Form-13

Form-18

Form-15

Form-18-A

Form-16

Form 19 & 20

Form-17

Form 21 & 23

Form-18

Form-22 & 24

Form-19

Form-24-A

Form-20

Form-24-B

Form-21

Form-25-A

Form-22

Form-26

Form-23

Form-27

Form-24