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ESI Form
ESI Form Download
FORM NO.
SUBJECT
RELEVANT REGULATION
TO BE USED BY
FORM-2
Addition/Deletion in Family Declaration Form
15-B
Employer
FORM-10
Claim for Sickness/ Temporary Disablement Benefit/Maternity Benefit
63 & 89(B)
IP/Beneficiary
FORM-11
Accident Book
66
Employer
FORM-12
Accident Report from Employer
68
Employer
FORM-15
Claim for Dependent Benefit
80
IP/Beneficiary
FORM-32
Wage Or Contributory Record For Diablement Benefit
83(A)
IP/Beneficiary
FORM-37
Certificate of Re-employment or continuing Employment
88, 89 & 91
IP/Beneficiary
Dependency
Form of Certificate of Dependency
89(A)
IP/Beneficiary
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