ESI Forms - Employee State Insurance Act
Under the Employee State Insurance (ESI) scheme, one will need to fill and submit relevant forms available on the ESIC portal for making claims. Some of the forms include Form 72, Form 23, Form 24, Form 15, and so on.
The Employees' State Insurance (ESI) scheme is a health insurance scheme designed with an intent to protect the interests of workers in times of medical emergencies like maternity, sickness, permanent or temporary physical disablement, employment related death or injury leading to a loss in earnings or the capacity to earn. It is a social security scheme which is self-financed where employers contribute 4.75% and the employees contribute 1.75% of their wages.
The ESI scheme operates under the guidelines of the ESI Act, 1948 and is managed by the Employees' State Insurance Corporation which is an autonomous body under the Ministry of Labor and Employment. The ESI scheme is meant for workers earning equal to or less than Rs.21,000 a month. Under this scheme, the below benefits are provided:
- Medical benefit
- Maternity benefit
- Sickness benefit
- Pension benefit
- Dependent benefit
- Disablement benefit
- Funeral and confinement expenses
What are the Various ESI Forms?
To make claims under the ESI scheme, the beneficiaries have to submit the relevant ESI forms after duly filling it. The form is available on the ESIC portal. Listed below are the details of the various ESI forms available:
ESIC Forms:
Form 72 - This form is used to request for a duplicate ESIC smart card request.
Form 23 - This form is a life certificate form that is required to avail the permanent disablement benefit.
Form 24 - This form is a declaration and certificate for availing disablement benefit.
Form 22 - This form is used for making a claim for funeral expenses.
Form 20 - This form can be used for availing maternity benefits after the death of the insured person.
Form 19 - In order to claim maternity benefits and notice of work, this form has to be submitted.
Form 16 - For making claims for periodical payment of disablement benefit, this form can be used.
Form 15 - This is a form used for making claims for availing dependent benefits.
Form 14 - This is a claim form for permanent disability benefit.
Form 12 - This is an accident report form from the employer.
Form 11 - Accident book.
Form 9 - This form is used for making claims for sickness, temporary disablement benefit, and maternity benefit.
Form 6 - This a register of the employees.
Form 5A - If any beneficiary wishes to make an advance ESIC payment for his/her contribution, he/she can do so by submitting this form.
Form 5 - This form is used to return contributions made by the employee.
Form 3 - This is a form for return of declaration.
Form 2 - To make changes in the declaration form, form 2 is used.
Form 1 - This is a declaration form.
Form 01 - Employer's registration form.
Form 1A - Family declaration form.
Form 142 - This form is used for making claims for compensation for loss of earnings and conveyance allowance.
Form 105 -Certificate of entitlement.
Form 86 - Certificate of employment.
Form 63 - Declaration form with regards to payment to the legal heir.
Form 53 - Application form for change in particulars of insured person.
Form 37 - Certificate of re-employment or continuous employment.
Form 32 - Wage-contributory record for disablement benefit.
All of the above-mentioned ESI forms are available to download from the ESIC portal and can be used for making claims under the Employees' State Insurance scheme.
How to Register for the ESI Scheme?
Establishments or firms that employ more than 10 people need to register under the ESI scheme. They can do so by logging into the ESIC portal - www.esic.in and submitting the requested information. On doing so, a code number comprising of 17 digits is generated and sent to the email ID of the employer along with a registration form and the ESIC login credentials. The employer can then login using the credentials and fill up the mandatory information. If there is any issue while registering, the employer can email the ESIC IT desk at itcare@esic.in.
ESIC Related Other Pges
FAQs on ESI Forms
- How do you file an ESI?
By the fifteenth day of the next month, employers registered with the ESIC must submit their ESI returns and make a monthly contribution. Employers still need to file a NIL Declaration to the ESIC even in cases when there are no employee contributions within a particular month.
- What is the ESIC form used for?
To give workers social security through the ESIC, the Indian government launched the ESI plan. Each month, employers and employees donate money. Factories and companies that employ ten or more people (up to twenty in certain states) and pay less than Rs.21,000 are eligible for ESIC registration.
- Who must submit an ESI return?
ESI Every six months, registered employers are obliged to file ESI Returns, which include vital details on the workers covered by the programme, including their salary and the contributions made by both the company and the workers.
- For whom is ESIC not applicable?
Currently, the maximum wage for individuals with disabilities is Rs. 25,000 per month, and the ESIC system does not cover workers or employees making more than Rs.21,000 per month.
- What makes ESI and ESIC different from one another?
The 'Employees' State Insurance Corporation' (ESIC), a corporate entity with members representing employers, employees, the Central and State governments, the medical profession, and the Parliament, is responsible for overseeing the ESI Scheme.
- Which states do not apply the ESIC?
Except the Union Territory of Lakshadweep, all States and Union Territories will be notified of the Employees' State Insurance (ESI) plan by 2023. The ESI programme is expanded in 610 districts out of the 744 districts in the nation; these 610 districts consist of 492 fully covered and 118 partially covered districts.
- Is ESI required for all workers?
Every establishment covered by the ESI Act, including factories with more than ten workers, pays wages of up to Rs.25,000 for employees with disabilities or less than Rs.21,000 per month, must register with the ESIC and make contributions to the ESI plan.
- When does an employee's eligibility for ESIC end?
An employee is considered exempt if they are exempt from paying the employees' contribution. Effective 14 June 2016, the exemption limit is Rs.137 per day.
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