Employee State Insurance or ESI Forms

In this post we discuss the ESI forms for employer and employee.

The Employee State Insurance (ESI) Act, 1948 consists of certain health related eventualities of employment such as sickness, temporary or permanent disablement, maternity, occupational diseases and death due to the employment injury which may lead to partial or total earning capacity.

The Act has made provisions to counterbalance such financial distress or physical distress by providing medical and financial support to insured persons and their families.

The ESI scheme is administered by Employees State Insurance Corporation (ESIC), an autonomous body under the Central Government of India, and is governed by the Ministry of Labour and Employment, Government of India.

There are several forms for employer and employee for several purposes. We will look at them in this post.

If you want to know more details about ESI, Visit – ESI (Employee State Insurance)

For employers

There are the various forms for employers –

Forms	Purpose
Form 01	Employers’ Registration Form
Form01A	Annual information of factory/establishment submission form
Form3	Return of Declaration forms
Form 5	Return of contributions
Form 5a	Statement of advance payment of contributions
Form 6	Register of employees
Form 10	Abstention verification
Form11 Form 12	Accident Register Accident Report

For employees

There are various forms for employee –

Forms	Purpose
FORM-1	Declaration Form
Form-2	Addition / Deletion in Family declaration form
Form 9	Claim form for sickness /TDB/ Maternity
Form 14	Claim form for Permanent disablement benefit (PDB)
Form 15	Claim form for Permanent disablement benefit (PDB)
Form 16	Claim form for periodical payments of DB
Form 19	Claim for Maternity benefit and notice of work
Form 20	Claim form for Maternity benefit after death of child
Form 22	Claim form for Funeral Expenses
Form 23	Life certificate
Form 24	Dependent benefits declaration