Hr Executive
Ray Vasri
Teacher 1
+1 Other

Dear Sir, Please tell me the defirence between Esic form 12 and Esic form 16. When these will be used?
From India
ESIC form 16 is the accident report which is to be filled within 24 hours of the accident. It is only filled for those employees who got injured during work hours and not otherwise.
Form 16 includes all information from the occurring of the accident and causes to the witness of the accident.
Form 12 is a sick leave remuneration application.
Stay Cool,

From India, Phagwara
No i think it is wrong. now the form 16 is known as form 12 as i have seen that both have almost same format and regulation 68 is mentioned in both. Please confirm me if I am correct. Thank you
From India
You are right, it was before that Accident Report was Form 16. But still in the ESIC guides it is Form 16. For further you can look in to the attachments. I hope it would help. Stay Cool, Atom.
From India, Phagwara

Attached Files
File Type: pdf Form-12 Accident Report from Employer.pdf (42.1 KB, 1422 views)
File Type: pdf Form-16 Claim for Periodical Payment of DB.pdf (40.9 KB, 854 views)

Dear Sir, when we submit the accident report after the accident if we could not submit the accident report under hour . can we submit the accident report late. Sunny
From India, Shimla
accident must be submitted under 24 hours, but there should be reasonable reason for the delay.
From India, Phagwara
Pregnancy Claim can not be raised by the Company. It has to be done on the part of the employee himself or herself.
Now Under ESI: 86 day salary is given to the pregnant woman ( if she is on leave on account of pregnancy and if she is the member not member's wife) and all the expenses during the birth till leave from the hospital.
I hope I clarified your query.
Stay Cool,

From India, Phagwara
Dear Cite HR Team,
The Accident Report (now Form 12) can be filled online at ESIC site. But the site is not generating any Report except Reference No., which is now being demanded by local ESI office in case of Accident. They are not ready to accept manual Accident Report.
your help in this regard is higly solicited
Niranjan Sharma
Shyam Steel Industries Ltd

From India, Durgapur
Contact your Regional Director and raise the issue to him.
In general mention the ref. No. on the accident report and give it to local office, if they still do not accept the report then get written letter to that effect.
Stay Cool,

From India, Phagwara
Great article. Thanks for the info, you made it easy to understand. BTW, if anyone needs to fill out a <a href=" D%26esrc%3Ds%26source%3Dweb%26cd%3D2%26cad%3Drja%2 6uact%3D8%26ved%3D0CCcQFjAB%26url%3Dhttp%253A%252F OwmTGQOy9SpY7HGTJgOPZXOUIw%26bvm%3Dbv.85761416%2Cd .dGY_campaign= \"form sick\" target="_blank" > Esic Form 12 </a>, I found a blank fillable form here.
From Philippines, Quezon%20City
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