ESIC

Form 01 Employer's Registration Form 10B Download
Form 01 A Form of annual information on factory/establishment covered under ESI Act 10c Download
Form 1 Declaration Form 11 & 12 Download
Form 1A Family Declaration Form 15 -A Download
Form 2 Addition/Deletion in Family Declaration Form 15-B Download
Form 3 Return of Declaration Form 14 Download
Form 5 Return of Contribution 26 Download
Form 5 A Advance payment of contribution 31 Download
Form 11 Accident Book 66 Download
Form 12 Accident Report from Employer 68 Download
Form 14 Claim for Permanent Disablement Benefit 76(a) Download
Form 15 Claim for Dependent Benefit 80 Download
Form 16 Claim for periodical payment of Dependent Benefits 83(A) Download
Form 19 Claim for Maternity Benefit and notice of work 88, 89 & 91 Download
Form 20 Claim for Maternity Benefit after the death of an Insured Women leaving behind the child 89(A) Download
Form 22 Funeral Expenses Claim 95(E) Download
Form 23 Life Certificate for Permanent Disablement Benefit 107 Download
Form 24 Declaration and Certificate for Dependents Benefit 107(A) Download