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Employee State Insurance Corporation (ESIC)

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Forms - Employers and Employees

ESIC Forms

Major changes in ESIC Regulations forms - Effective from 1/1/05.









ESIC Forms for Employers

Form 01Employer's Registration Form
Form- 01AAnnual information of factory/estt submission form
Form 3Return of Declaration forms
Form 5Return of contributions
Form 5aStatement of advance payment of contributions
Form 6Register of employees
Form 10Abstention verification
Form 11Accident Register
ESIC 37Certificate of Re-employment / continuing employment

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Dear Sir, I joined ESI scheme on 1st Aug'14, I have paid one month contribution only. Now my father needs to undergo eye surgery. Is it possible to have such facility from ESI scheme. Please give me details in this regard.
aprchristumas Thursday, August 14, 2014
Hi, I joined company on 2nd May 2014, Please can you advise when can i and dependent can get full medical treatment or reimbursement from ESIC.
reachankitbansal Tuesday, July 01, 2014
sir i joined a company 3_3-2014`n fill esi form when i got alll the esi facility??????
pankaj1239 Saturday, April 05, 2014
Dear sir Please guide me how to avail the facilty.This is anusuya from bangalore. Thanks and Regards Anusuya ESI Insurance No - 534269872 pls conform me. my esi num its working r not.......regards
anu..



anusuya Tuesday, March 04, 2014
Dear Sir I want to take esi facility but there is no idea of the procedure. Last day I went to renuka orthopaedic hospital in patna, doctor checked and demaded for the fee. But as I know in esi there is nothing to pay from pocket. Please guide me how to avail the facilty Thanks and Regards Manish Kumar ESI Insurance No - 4215223985 Mob- 7781007602
Manish4215223985 Tuesday, January 14, 2014
sir i am naveen kumar ,i go esi hospital for my wife's treatment of eyes, but doctor speak ruffly and said here is no treatment in hospital, we said then reffer any hospital but he said we can not reffer, then i go to another hospital , iwant to treatment another hospital how can i collect my bills to esi
naveensood Friday, November 22, 2013
one of fr she worked with me.nw she relived from our company.her father was in critical stage,whether she can apply for esi with her no.Kindly reply as soon as possible
aparna30 Wednesday, November 13, 2013
Hi, I worked with an organization when I registered for ESIC . Now I moved to another company and its been 2years now. I want to contribute towards my ESIC IP NO. Please let me know how can I initiate contributing towards ESIC with my new company with the changed address. Thanks in Advance, Anil V.
Anee Tuesday, November 12, 2013
I have been working in an organization for the last one year, and astonishingly i found that this company employing around 200 employees is still not registered with ESIC and none of the employees are covered under ESI or even PF. I am wondering as to how a organization can survive like this cheating the employees and minting money like this. Could someone tell me as to how these people can be straightened out using the law.
goodsamaritan Thursday, November 07, 2013
hi my name is raghu my brother worked for 6 years in one organization, 6 months back he resigned due to close of that organization. will he get any benefits of medical and any pay from esi, if so how to get benefits. because he is still searching for job from 6 months. please give some advice
Raghu.M Thursday, November 07, 2013
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