Forms and Register under ESIC Act 1948

ESIC Form no 37- ESIC-37 Certificate of Re-employment-Continuous employment.
ESIC-105 - Certificate of Entitlement
ESIC-72- Application for duplicate Identity Card if the Permanent Card is lost
ESIC-86- Certificate of Employment
ESIC-accident register- ESIC-accident register.
Form-01- Employer's Registration Form for coverage Purpose.
Form-1- Declaration Form-Form-1 Declaration Form {This form is use at the time of Joining if the Employee is covered under ESIC ,along with this form Two postcard size photographs are to be enclosed).
Form-12- Accident Report from Employer.
Form-2 -Addition-Deletion in Family Declaration Form.
Form-22- Funeral Expenses Claim.
Form01(A)- for Annual information This Information is to be given on calendar year basis.
Form-5- Return of contribution by employer.
Form-5(A)- Advance payement of contribution.
FORM-6- Register of employee.
FORM-9- Claim for sickness/temporary disabelment benifit/maternity benifit.
FORM-14- Claim for permanent disabelment bebifit.
FORM-15- Claim for dependent benifit.
FORM-16- Claim for periodical payement of dependent benifits.