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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NiyasPandallur Thursday, July 14, 2016

Dear Sir,

Kindly inform me the details of ESI schemes for dental treatments and also the available dental hospitals in Kerala.

akm8591 Tuesday, June 23, 2015

How do we report use of ESIC insurance by people who are enrolled in organisations for the sake of use of ESI previlages hand in glove.

taxmann Friday, April 10, 2015

My father was working in ESI as Lab assistance he Expired on may 1, 2012 during job period . so kind u send policy from which i can get that Job in place of my father or is there in rule from which we can get job please suggest and reply coz my family background is very bad situation and i need this job very urgently ......please suggest . thanx

aprchristumas Thursday, August 14, 2014

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.

reachankitbansal Tuesday, July 1, 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.

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