ESI forms

ESI forms:

For employers:-

Forms Purpose
Form 01 Employers’ Registration Form
Form 01A Annual information of factory/establishment 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

For employees:-

Forms Purpose
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 Permanent disablement benefit (PDB)
Form 16 Claim form for periodical payments of DB
Form 19 Claim for Maternity benefit and notice of work
Form 20 Claim form for Maternity benefit after death of child
Form 22 Claim form for Funeral Expenses
Form 23 Life certificate
Form 24 Dependent benefits declaration

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