Can anyone give me all the ESI forms / returns in excel format
Rajarajan
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Need ESI Forms
Replies (5)
Various Types of Employee State Insurance (ESI) Forms
Form No.
Form Name
Form 01
Employer's Registration Form
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Form 01(A)
Form of Annual Information on Factory/Establishment
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Form 1
Declaration Form
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Form 1A
Family Declaration Form
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Form 1B
Changes in Family Declaration Form
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Form 3
Return of Declaration Form
View and Download
Form 4
Identity Card
View and Download
Form 4(A)
Family Identity Card
View and Download
Form 6
Return of Contributions
View and Download
Form 7
First/Intermediate/Final Certificate
View and Download
Form 8
Special Intermediate Certificate
View and Download
Form 10
Abstention verification in r/o Sickness Benefit/Temporary Disablement Benefit/MB
View and Download
Form 12
Sickness of Temporary Disablement Benefit
View and Download
Form 12A
Maternity Benefit for Sickness
View and Download
Form 13
Sickness or Temporary disablement or maternity benefit for sickness
View and Download
Form 13A
Maternity Benefit for Sickness
View and Download
Form 14
Sickness or temporary disablement or maternity benefit for sickness
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Form 14A
Maternity Benefit for Sickness
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Form 16
Accident report from employer
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Form 17
Dependant's or funeral benefit (Death Certificate)
View and Download
Form 18
Dependant's Benefit (Claim Form)
View and Download
Form 18A
Dependant's Benefit (Claim for periodical payments)
View and Download
Form 19
Maternity Benefit (Notice of Pregnancy)
View and Download
Form 20
Maternity Benefit (Certificate of Pregnancy)
View and Download
Form 21
Maternity Benefit (Certificate of expected confinement)
View and Download
Form 22
Claim for Maternity Benefit
View and Download
Form 23
Maternity Benfit (Certificate of confinement or miscarriage)
View and Download
Form 24
Maternity Benfit (Notice of Work)
View and Download
Form 25
Claim for permanent Disablement Benefit
View and Download
Form 26
Certificate for Permanent Disablement Benefit
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Form 27
Declaration and Certificate for depenant's benefit
View and Download
ESIC-32
Wage/Contributory record for disablement benefit
Employer
ESIC-37
Certificate of re-employment/continuous employment
Employer
ESIC-53
Application for change in particulars of Insured Persons regarding change of Branch Office/Dispensary
IP/Beneficiary
ESIC-63
Declaration form regarding payment to the legal heir/representative of the deceased IP
IP/Beneficiary
ESIC-71
Particulars of contribution in case Return of Contribution in respect of an IP not sent
Employer
ESIC-72
Application for duplicate Identity Card
IP/Beneficiary
ESIC-86
Certificate of Employment
Employer
ESIC-105
Certificate of Entitlement
Employer
ESIC-126
Certificate of continuous employment for Extended Medical and Sickness Benefit
Employer
ESIC-142
Claim for conveyance allowance and/or compensation for loss of wages for an IP appeared before the medical board
IP/Beneficiary
C-1,2 & 6
Proforma for Survey Register
C-18, Actual, Interest, C-19, 20, 22 & 23, D-18 & D-19
Proformas
C-2 to C-5 & C-7 to C-12
Proformas
Thanks a lot Mahes
Rajarajan
CAN ANYBODY GIVE ALL ESI FORMS IN EXCEL FORMAT
Any changes in ESI
Dear All
Our office is situated at st.johns Road, Bangalore - 560 042. we need to take ESI Code, Please let us know which ESIC Office we have to go for Registration, I Mean address of the ESIC office, Regards.
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