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For Assistance please call 1800-11-2526 (Toll-Free) on all working days during 24 x 7 helpline or E-mail to esic-hqrs@esic.in OR jd-pg@esic.nic.in.
 
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 Employees - Download ESIC Forms
 
Forms For Employers
Form 01 Employers' Registration Form
Form - 01A Annual Information of Factory/estt submission Form
Form - 3 Return Of Declaration Form
Form - 5 Return Of Contributions
Form - 5A Statement Of Advance Payment of Contribution
Form - 6 Register Of Employees
Form - 10 Abstention Verification
Form - 11 Accident Register
Forms For Employees
Form 1 Declaration Form
Form - 2 Addition/Deletion In Family Declaration Form
Form - 9 Claim Form For Sickness/TDB/Maternity
Form - 14 Claim Form For Permanent Disablement Benefit(PDB)
Form - 15 Claim Form For Dependant Benefit
Form - 16 Claim Form Periodical Payments Of DB
Form - 19 Claim Form For Maternity Benefit
Form - 20 Claim Form For Maternity Benefit After Death Of Child
Form - 22 Claim Form For Funeral Expenses
Form - 23 Life Certificate
Form - 24 Dependant Benefits Declaration
 
 
 
   
 
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