Centre
The Employees' State Insurance Act, 1948
The Employees' State Insurance Scheme is a form of social insurance. It protects employees against sickness, maternity, disablement, and death from employment injury, and provides medical care to insured persons and their families.
Forms
- Form 01(A) - Form of Annual Information
- Employee Registration
- Form 1 - Declaration Form
- Form 2 - Addition/Deletion in Family Declaration
- Form 3 - Return of Declaration Form
- Form 9 - Claim for Sickness/Temporary Disablement Benefit/Maternity Benefit
- Form 11 - Accident Book
- Form 12 - Accident Report
- Form 14 - Claim for Permanent Disablement Benefit
- Form 15 - Claim Dependent Benefit
- Form 16 - Claim for Periodical Payment of Dependent Benefits
- Form 19 - Claim for Maternity Benefit and Notice of Work
- Form 20 - Claim for Maternity Benefit by a Nominee
- Form 22 - Funeral Expense Claim
- Form 23 - Life Certificate for Permanent Disablement Benefit
- Form 24 - Declaration & Certificate for Dependent's Benefit
- Form 14 - Sickness or Temporary Disablement or Maternity Benefit for Sickness
- Form 12A - Claim for Maternity Benefit for Sickness
- Form 21 - Maternity Benefit - Certificate of Expected Confinement
- Form 13 - Claim for Sickness or Temporary Disablement or Maternity