Employee's state insurance corporation (ESIC)

Forms

Form No.	Purpose
Form-01	Employer's Registration Form
Form-01(A)	Form of Annual Information on Factory / Establishment
Form - 1	Declaration Form
Form - 1(A)	Family Declaration Form
Form - 1 (B)	Changes in Family Declaration Form
Form - 3	Return of Declaration Forms
Form - 5	Return of Contributions
Form - 12	Sickness of Temporary Disablement Benefit
Form - 14	Sickness or temporary disablement or maternity benefit for sickness
Form - 16	Accident report from employer
Form - 19	Maternity Benefit (Notice of Pregnancy)
Form - 20	Maternity Benefit (Certificate of Pregnancy)
Form - 22	Claim for Maternity Benefit
Form - 23	Maternity Benefit (Certificate of confinement or miscarriage)
Form - 24	Maternity Benefit (Notice of work)

Email: infosurvagya@gmail.com
Call: 9810111930 (Delhi, India)