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Employee's state insurance corporation (ESIC)

Form No.	Purpose
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 - 1 (B)	Changes in Family Declaration Form

Form-2	Addition / Deletion in Family Declaration Form

Form - 3	Return of Declaration Forms

Form - 5	Return of Contributions

Form-9	Claim for Sickness/Temporary Disablement Benefit/Maternity Benefit

Form-11	Accident Book

Form - 12	Accident Report filled by Employer

Form - 14	Claim for Permanent Disablement Benefit

Form-15	Claim for Dependent Benefit

Form - 16	Claim for Periodical Payment of Dependent Benefit

Form - 19	Claim for Maternity Benefit & 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

Form - 32	Wage / Contribution record for disablement Benefit

Form - 37	Certificate of Re-employment / continuous Employment

Form - 53	Application for change in particulars of IP regarding change of Branch office/Dispensary

Form - 63	Declaration form regarding payment to the legal heir/representative of the deceased IP

Form - 71	Particulars of contribution in case Return of Contribution in respect of IP not sent

Form - 72	Application for Duplicate Identity Card

Form - 86	Certificate of Employment

Form - 105	Certificate of Entitlement

Form - 126	Certificate of Continuous Employment for Extended Medical / Sickness Benefit

Form - 142	Claim for conveyance allowance and/or compensation for loss of wages for an IP appeared before the medical board