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Introduction of Self-declaration Form for Insured Women

As per the ESIC circular dated 18th July 2017, the ESIC has introduced a Self-declaration Form for the Insured Woman. The ESIC had noticed some instances where the family particulars of IP/IW vary from those available in the IP portal, leading to undue benefits. In order to address this issue, it has been decided to obtain a self-declaration from the Insured Woman regarding the number of her surviving children as of the date of presenting the maternity benefit claim.

If there is an inconsistency between the declaration and the particulars on the portal, then 12 weeks of maternity benefits would be paid immediately from the ESIC Branch. Any remaining payment will be made to the Insured Woman within 14 days, subject to verification. Therefore, the Insured Woman shall now submit the self-declaration Form along with claim form No. 19 for the settlement of the Maternity Benefit Claim.

From India, Bengaluru
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File Type: pdf Introduction Of Self-Declaration Form For Insured Woman Relating To Maternity Benefit Under ESI .pdf (1.21 MB, 736 views)

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