Forms and registers to be maintained under ESI / PF ACT
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Forms and registers to be maintained under ESI / PF ACT

stallion.srinivasan Started The Discussion:

Dear Seniors / Experts,

Please clarify me what are the registers / forms to be maintained under ESI / PF Act. Our unit is already registered under the both act online.

I am just confused about the maintenance of forms / registers.

Is the below list correct ?
(Extracted from ESIC)

FORM NO. SUBJECT
FORM-01 Employer's Registration Form
FORM-01(A) Form of annual information on factory/establishment
covered under ESI Act
FORM-1 Declaration Form
FORM-1(A) Family Declaration Form
FORM-2 Addition/Deletion in Family Declaration Form
FORM-3 Return of Declaration Form
FORM-5 Return of Contribution
FORM-5(A) Advance payment of contribution
FORM-5 (New) Return of Contribution (New)
FORM-6 Register of Employees
FORM-9 Claim for Sickness/ TDB/Maternity Benefit
FORM-11 Accident Book
FORM-12 Accident Report from Employer
FORM-14 Claim for Permanent Disablement Benefit
FORM-15 Claim for 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 after the death of an Insured
Women leaving behind the child
FORM-22 Funeral Expenses Claim
FORM-23 Life Certificate for Permanent Disablement Benefit
FORM-24 Declaration and Certificate for Dependents Benefit
ESIC-32 Wage/Contributory record for disablement benefit
ESIC-37 Certificate of re-employment/continuous employment
ESIC-53 Application for change in particulars of Insured Persons
regarding change of Branch Office/Dispensary
ESIC-63 Declaration form regarding payment to the legal
heir/representative of the deceased IP
ESIC-71 Particulars of contribution in case Return of Contribution in
respect of an IP not sent
ESIC-72 Application for duplicate Identity Card
ESIC-86 Certificate of Employment
ESIC-105 Certificate of Entitlement
ESIC-126 Certificate of continuous employment for Extended
Medical and Sickness Benefit
ESIC-142 Claim for conveyance allowance and/or compensation for
loss of wages for an IP appeared before the medical board
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


Please clarify.

R.Srinivasan

stallion.srinivasan - Member Since: Jan 2009
Dear Seniors / Experts,

I am newly joined in a company recently. Since ESI and PF processes are made online I am confused about which registers/forms to be maintained and which registers / forms to be omitted.

Is the below list correct ?
(recently Extracted from ESIC)

FORM NO. SUBJECT
FORM-01 Employer's Registration Form
FORM-01(A) Form of annual information on factory/establishment
covered under ESI Act
FORM-1 Declaration Form
FORM-1(A) Family Declaration Form
FORM-2 Addition/Deletion in Family Declaration Form
FORM-3 Return of Declaration Form
FORM-5 Return of Contribution
FORM-5(A) Advance payment of contribution
FORM-5 (New) Return of Contribution (New)
FORM-6 Register of Employees
FORM-9 Claim for Sickness/ TDB/Maternity Benefit
FORM-11 Accident Book
FORM-12 Accident Report from Employer
FORM-14 Claim for Permanent Disablement Benefit
FORM-15 Claim for 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 after the death of an Insured
Women leaving behind the child
FORM-22 Funeral Expenses Claim
FORM-23 Life Certificate for Permanent Disablement Benefit
FORM-24 Declaration and Certificate for Dependents Benefit
ESIC-32 Wage/Contributory record for disablement benefit
ESIC-37 Certificate of re-employment/continuous employment
ESIC-53 Application for change in particulars of Insured Persons
regarding change of Branch Office/Dispensary
ESIC-63 Declaration form regarding payment to the legal
heir/representative of the deceased IP
ESIC-71 Particulars of contribution in case Return of Contribution in
respect of an IP not sent
ESIC-72 Application for duplicate Identity Card
ESIC-86 Certificate of Employment
ESIC-105 Certificate of Entitlement
ESIC-126 Certificate of continuous employment for Extended
Medical and Sickness Benefit
ESIC-142 Claim for conveyance allowance and/or compensation for
loss of wages for an IP appeared before the medical board
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


Please clarify.

R.Srinivasan

vishwanathtuflite - Member Since: Nov 2010
Dear Seniors / Expers, Kindly provide me formate of ESI running letter to be given to employee to avail ESI. Please provide me the draft, Regards, Vishwanath

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