{"id":301,"date":"2020-06-18T11:23:20","date_gmt":"2020-06-18T05:53:20","guid":{"rendered":""},"modified":"2026-09-03T16:46:35","modified_gmt":"2026-09-03T16:46:35","slug":"types-of-form-for-claim-under-esic","status":"publish","type":"post","link":"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/","title":{"rendered":"Types of Form for Claim under ESIC"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_86 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #1e73be;color:#1e73be\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #1e73be;color:#1e73be\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Employees_State_Insurance_is_a_health_insurance_scheme_that_protects_workers_during_medical_emergencies_The_employee_contributes_075_of_his_salary_for_this_scheme_Meanwhile_the_employer_contributes_325_of_the_employees_salary_The_ESIC_is_an_autonomous_sovereign_body_under_the_Ministry_of_Labor_and_Employment_They_manage_the_ESI_scheme\" >Employees State Insurance is a health insurance scheme that protects workers during medical emergencies. The employee contributes 0.75% of his salary for this scheme. Meanwhile, the employer contributes 3.25% of the employee&#8217;s salary. The ESIC is an autonomous\/ sovereign body under the Ministry of Labor and Employment. They manage the ESI scheme.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#The_ESI_Scheme_follows_the_guidelines_of_the_ESI_Act_1948_It_provides_benefits_for_maternity_medical_pension_sickness_disability_dependents_and_funeral_and_imprisonment_expenses_We_will_discuss_the_claims_for_all_types_of_ESIC_forms_that_are_available_and_about_the_use_of_them\" >The ESI Scheme follows the guidelines of the ESI Act, 1948. It provides benefits for maternity, medical, pension, sickness, disability, dependents, and funeral, and imprisonment expenses. We will discuss the claims for all types of ESIC forms that are available and about the use of them.<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#How_many_types_of_forms_available_for_claim_under_ESIC\" >#How many types of forms available for claim under ESIC?<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#There_have_many_types_of_forms_available_for_claim_under_ESIC\" >There have many types of forms available for claim under ESIC:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Form_1_Form_9_Form_11_and_form_12_Form_14_Form_15_Form_16_Form_19_Form_20_Form_22_Form_23_Form_24_Form_32_Form_142\" >Form 1\n\n\nForm 9\n\n\nForm 11 and form 12\n\n\nForm 14\n\n\nForm 15\n\n\nForm 16\n\n\nForm 19\n\n\nForm 20\n\n\nForm 22\n\n\nForm 23\n\n\nForm 24\n\n\nForm 32\n\n\nForm 142<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#These_are_the_types_of_forms_for_claim_under_ESIC_that_know_well_read_about_the_uses_of_these_forms\" >These are the types of forms for claim under ESIC that know we\u2019ll read about the uses of these forms.<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#What_is_the_use_of_Form_1_under_ESIC\" >#What is the use of Form 1 under ESIC?<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Forms_1_are_a_declaration_form_This_form_is_used_when_a_new_insured_person_IP_joins_a_company_all_the_details_of_the_new_insured_persons_family_as_well_as_his_details_are_filled_through_this_form_and_given_to_the_employer_It_is_also_available_on_the_ESI_online_portal_for_viewing_Keep_a_copy_of_form_1to_reproduce_it_during_an_inspection_or_any_other_reason_After_this_we_will_talk_about_Form_9\" >Forms 1 are a declaration form. This form is used when a new insured person (IP) joins a company; all the details of the new insured person\u2019s family as well as his details are filled through this form and given to the employer. It is also available on the ESI online portal for viewing. Keep a copy of form 1to reproduce it during an inspection or any other reason. After this, we will talk about Form 9.<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Which_Form_is_used_to_claim_for_ESIC_benefits\" >#Which Form is used to claim for ESIC benefits?&nbsp;<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Form_9_is_used_to_make_claims_for_ESIC_benefits_like\" >Form 9 is used to make claims for ESIC benefits like:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Sickness_Temporary_disability_benefits_and_Maternity_benefits\" >Sickness,\n\n\nTemporary disability benefits, and\n\n\nMaternity benefits.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#The_ESIC_holder_needs_to_fill_the_form_9_and_send_it_to_ESIC_to_get_the_claim_for_the_benefits\" >The ESIC holder needs to fill the form 9 and send it to ESIC to get the claim for the benefits.<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#What_is_the_use_of_Form_11_and_Form_12_under_ESIC\" >#What is the use of Form 11 and Form 12 under ESIC?<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Under_the_ESIC_the_claim_form_11_is_known_as_the_accident_book_of_Insure_Person_while_the_claim_Form_12_is_known_as_the_accident_report_from_the_employer_These_forms_are_used_at_the_time_of_an_insured_person_accident_occurs_while_working_in_an_employer_company_the_employer_has_to_fill_these_forms\" >Under the ESIC the claim form 11 is known as the accident book of Insure Person while the claim Form 12 is known as the accident report from the employer. These forms are used at the time of an insured person accident occurs while working in an employer company, the employer has to fill these forms.<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Which_claim_can_be_done_through_Form_14\" >#Which claim can be done through Form 14?<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#The_claim_for_permanent_disability_benefits_can_be_done_through_Form_14_under_ESIC_If_an_employee_has_an_accident_while_working_that_disables_himher_or_becomes_unable_to_work_in_the_future_then_this_ESI_claim_form-14_is_submitted_to_receive_ESI_benefits\" >The claim for permanent disability benefits can be done through Form 14 under ESIC. If an employee has an accident while working that disables him\/her or becomes unable to work in the future, then this ESI claim form-14 is submitted to receive ESI benefits.<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#What_is_the_use_of_Form_15_under_ESIC\" >#What is the use of Form 15 under ESIC?<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Form_15_is_a_form_that_helps_in_making_claims_to_receive_dependent_benefits_If_an_Insured_Person_dies_while_working_in_a_factory_his_nominee_can_get_lump_sum_ESI_benefits_through_this_form\" >Form 15 is a form that helps in making claims to receive dependent benefits. If an Insured Person dies while working in a factory, his nominee can get lump sum ESI benefits through this form.<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#What_is_the_use_of_Claim_form_16_under_ESIC\" >#What is the use of Claim form 16 under ESIC?<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Form_16_can_be_used_to_make_claims_for_the_periodic_payment_of_disability_benefits_under_ESIC_If_the_Insured_Person_dies_while_working_in_a_factory_hisher_nominee_can_get_the_benefit_under_ESIC_from_time_to_time_through_this_form_16\" >Form 16 can be used to make claims for the periodic payment of disability benefits under ESIC. If the Insured Person dies while working in a factory, his\/her nominee can get the benefit under ESIC from time to time through this form 16.<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#What_needs_Form_19_and_Form_20\" >#What needs Form 19 and Form 20?<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Form_19_is_used_to_claim_maternity_benefits_and_it_is_required_to_submit_Form_19_to_get_leave_during_the_insured_persons_maternity_time_This_Form_20_helps_in_availing_maternity_benefit_in_case_of_death_of_the_insured_pregnant_woman_Additionally_see_this_Maternity_Benefits_under_ESIC_get_all_the_details_for_it\" >Form 19 is used to claim maternity benefits and it is required to submit Form 19 to get leave during the insured persons&#8217; maternity time. This Form 20 helps in availing maternity benefit in case of death of the insured pregnant woman. Additionally, see this Maternity Benefits under ESIC get all the details for it.<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#What_is_the_use_of_Form_22_and_Form_23_and_Form_24_under_ESIC\" >#What is the use of Form 22 and Form 23 and Form 24 under ESIC?<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Form_22_is_used_for_claim_funeral_expenses_of_an_insured_person_The_Funeral_fund_was_raised_from_Rs_10000_to_Rs_15000_Form_23_is_a_life_certificate_for_the_benefit_of_the_dependent_Insured_Persons_dependents_have_to_give_their_life_certificate_to_ESIC_every_year_to_get_ESIC_benefits\" >Form 22 is used for claim funeral expenses of an insured person. The Funeral fund was raised from Rs. 10,000 to Rs. 15,000. Form 23 is a life certificate for the benefit of the dependent. Insured Person\u2019s dependents have to give their life certificate to ESIC every year to get ESIC benefits.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#This_form_24_is_a_declaration_form_the_dependent_has_to_produce_to_prove_that_heshe_has_neither_remarried_nor_is_receiving_monetary_benefits_from_any_other_source\" >This form 24 is a declaration form the dependent has to produce to prove that he\/she has neither remarried nor is receiving monetary benefits from any other source.<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#What_is_the_use_of_ESIC_claim_Form_32_and_Form_37_and_7A_under_ESIC\" >#What is the use of ESIC claim Form 32 and Form 37 and 7A under ESIC?<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-27\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Form_32_%E2%80%93_The_ESIC_has_an_ESIC_contribution_record_that_the_employer_has_to_present_to_the_ESIC_Form_32_helps_to_calculate_the_dependants_profit_correctly\" >Form 32 \u2013 The ESIC has an ESIC contribution record that the employer has to present to the ESIC. Form 32 helps to calculate the dependant&#8217;s profit correctly.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-28\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Form_37_and_7A_%E2%80%93_These_forms_are_used_to_as_a_Certificate_of_sickness_and_fitness_for_continued_employment\" >Form 37 and 7A \u2013 These forms are used to as a Certificate of sickness and fitness for continued employment.&nbsp;<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-29\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#What_is_the_use_of_Form_142_under_ESIC\" >#What is the use of Form 142 under ESIC?<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-30\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#Form_142_helps_in_making_claims_for_compensation_for_loss_of_one_days_salary_and_reimbursement_allowance_of_an_ESIC_registration_holder\" >Form 142 helps in making claims for compensation for loss of one day&#8217;s salary and reimbursement allowance of an ESIC registration holder.<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-31\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#What_is_the_procedure_of_Claim_under_ESIC\" >#What is the procedure of Claim under ESIC?<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-32\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#ESI_Claim_Procedure\" >#ESI Claim Procedure:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-33\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/#To_claim_under_the_ESI_scheme_the_beneficiaries_will_have_to_submit_the_claim_in_the_relevant_ESIC_form_after_filling_it_All_the_above_ESIC_Claim_Forms_are_available_for_download_from_the_ESIC_portal\" >To claim under the ESI scheme, the beneficiaries will have to submit the claim in the relevant ESIC form after filling it. All the above ESIC Claim Forms are available for download from the ESIC portal.<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h4><span class=\"ez-toc-section\" id=\"Employees_State_Insurance_is_a_health_insurance_scheme_that_protects_workers_during_medical_emergencies_The_employee_contributes_075_of_his_salary_for_this_scheme_Meanwhile_the_employer_contributes_325_of_the_employees_salary_The_ESIC_is_an_autonomous_sovereign_body_under_the_Ministry_of_Labor_and_Employment_They_manage_the_ESI_scheme\"><\/span><span style=\"font-family: Verdana;\">Employees State Insurance is a health insurance scheme that protects workers during medical emergencies. The employee contributes 0.75% of his salary for this scheme. Meanwhile, the employer contributes 3.25% of the employee&#8217;s salary. The ESIC is an autonomous\/ sovereign body under the Ministry of Labor and Employment. They manage the ESI scheme.<\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><span class=\"ez-toc-section\" id=\"The_ESI_Scheme_follows_the_guidelines_of_the_ESI_Act_1948_It_provides_benefits_for_maternity_medical_pension_sickness_disability_dependents_and_funeral_and_imprisonment_expenses_We_will_discuss_the_claims_for_all_types_of_ESIC_forms_that_are_available_and_about_the_use_of_them\"><\/span>The ESI Scheme follows the guidelines of the ESI Act, 1948. It provides benefits for maternity, medical, pension, sickness, disability, dependents, and funeral, and imprisonment expenses. We will discuss the claims for all types of ESIC forms that are available and about the use of them.<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h3><span class=\"ez-toc-section\" id=\"How_many_types_of_forms_available_for_claim_under_ESIC\"><\/span><b>#How many types of forms available for claim under ESIC?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h6><span style=\"color: inherit; font-family: inherit;\"><br \/><\/span><\/h6>\n<h4><span class=\"ez-toc-section\" id=\"There_have_many_types_of_forms_available_for_claim_under_ESIC\"><\/span><span style=\"font-family: inherit;\"><b style=\"\"><font color=\"#ff0000\">There have many types of forms available for claim under ESIC:<\/font><\/b><\/span><br \/><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><span class=\"ez-toc-section\" id=\"Form_1_Form_9_Form_11_and_form_12_Form_14_Form_15_Form_16_Form_19_Form_20_Form_22_Form_23_Form_24_Form_32_Form_142\"><\/span>\n<ul>\n<li>Form 1<\/li>\n<\/ul>\n<ul>\n<li>Form 9<\/li>\n<\/ul>\n<ul>\n<li>Form 11 and form 12<\/li>\n<\/ul>\n<ul>\n<li>Form 14<\/li>\n<\/ul>\n<ul>\n<li>Form 15<\/li>\n<\/ul>\n<ul>\n<li>Form 16<\/li>\n<\/ul>\n<ul>\n<li>Form 19<\/li>\n<\/ul>\n<ul>\n<li>Form 20<\/li>\n<\/ul>\n<ul>\n<li>Form 22<\/li>\n<\/ul>\n<ul>\n<li>Form 23<\/li>\n<\/ul>\n<ul>\n<li>Form 24<\/li>\n<\/ul>\n<ul>\n<li>Form 32<\/li>\n<\/ul>\n<ul>\n<li>Form 142<\/li>\n<\/ul>\n<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h6><\/h6>\n<h4><span class=\"ez-toc-section\" id=\"These_are_the_types_of_forms_for_claim_under_ESIC_that_know_well_read_about_the_uses_of_these_forms\"><\/span><font color=\"#ff0000\"><b>These are the types of forms for claim under ESIC that know we\u2019ll read about the uses of these forms.<\/b><\/font><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h3><span class=\"ez-toc-section\" id=\"What_is_the_use_of_Form_1_under_ESIC\"><\/span><b>#What is the use of Form 1 under ESIC?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"Forms_1_are_a_declaration_form_This_form_is_used_when_a_new_insured_person_IP_joins_a_company_all_the_details_of_the_new_insured_persons_family_as_well_as_his_details_are_filled_through_this_form_and_given_to_the_employer_It_is_also_available_on_the_ESI_online_portal_for_viewing_Keep_a_copy_of_form_1to_reproduce_it_during_an_inspection_or_any_other_reason_After_this_we_will_talk_about_Form_9\"><\/span>Forms 1 are a declaration form. This form is used when a new insured person (IP) joins a company; all the details of the new insured person\u2019s family as well as his details are filled through this form and given to the employer. It is also available on the ESI online portal for viewing. Keep a copy of form 1to reproduce it during an inspection or any other reason. After this, we will talk about Form 9.<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h3><span class=\"ez-toc-section\" id=\"Which_Form_is_used_to_claim_for_ESIC_benefits\"><\/span><b>#Which Form is used to claim for ESIC benefits?&nbsp;<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"Form_9_is_used_to_make_claims_for_ESIC_benefits_like\"><\/span><b>Form 9 is used to make claims for ESIC benefits like:<\/b><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h6><b><br \/><\/b><\/h6>\n<h4><span class=\"ez-toc-section\" id=\"Sickness_Temporary_disability_benefits_and_Maternity_benefits\"><\/span>\n<ul>\n<li>Sickness,<\/li>\n<\/ul>\n<ul>\n<li>Temporary disability benefits, and<\/li>\n<\/ul>\n<ul>\n<li>Maternity benefits.<\/li>\n<\/ul>\n<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h4><span class=\"ez-toc-section\" id=\"The_ESIC_holder_needs_to_fill_the_form_9_and_send_it_to_ESIC_to_get_the_claim_for_the_benefits\"><\/span><b><font color=\"#ff0000\">The ESIC holder needs to fill the form 9 and send it to ESIC to get the claim for the benefits.<\/font><\/b><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h3><span class=\"ez-toc-section\" id=\"What_is_the_use_of_Form_11_and_Form_12_under_ESIC\"><\/span><b>#What is the use of Form 11 and Form 12 under ESIC?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"Under_the_ESIC_the_claim_form_11_is_known_as_the_accident_book_of_Insure_Person_while_the_claim_Form_12_is_known_as_the_accident_report_from_the_employer_These_forms_are_used_at_the_time_of_an_insured_person_accident_occurs_while_working_in_an_employer_company_the_employer_has_to_fill_these_forms\"><\/span>Under the ESIC the claim form 11 is known as the accident book of Insure Person while the claim Form 12 is known as the accident report from the employer. These forms are used at the time of an insured person accident occurs while working in an employer company, the employer has to fill these forms.<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h3><span class=\"ez-toc-section\" id=\"Which_claim_can_be_done_through_Form_14\"><\/span><b>#Which claim can be done through Form 14?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"The_claim_for_permanent_disability_benefits_can_be_done_through_Form_14_under_ESIC_If_an_employee_has_an_accident_while_working_that_disables_himher_or_becomes_unable_to_work_in_the_future_then_this_ESI_claim_form-14_is_submitted_to_receive_ESI_benefits\"><\/span>The claim for permanent disability benefits can be done through Form 14 under ESIC. If an employee has an accident while working that disables him\/her or becomes unable to work in the future, then this ESI claim form-14 is submitted to receive ESI benefits.<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h3><span class=\"ez-toc-section\" id=\"What_is_the_use_of_Form_15_under_ESIC\"><\/span><b>#What is the use of Form 15 under ESIC?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"Form_15_is_a_form_that_helps_in_making_claims_to_receive_dependent_benefits_If_an_Insured_Person_dies_while_working_in_a_factory_his_nominee_can_get_lump_sum_ESI_benefits_through_this_form\"><\/span>Form 15 is a form that helps in making claims to receive dependent benefits. If an Insured Person dies while working in a factory, his nominee can get lump sum ESI benefits through this form.<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h3><span class=\"ez-toc-section\" id=\"What_is_the_use_of_Claim_form_16_under_ESIC\"><\/span><b>#What is the use of Claim form 16 under ESIC?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"Form_16_can_be_used_to_make_claims_for_the_periodic_payment_of_disability_benefits_under_ESIC_If_the_Insured_Person_dies_while_working_in_a_factory_hisher_nominee_can_get_the_benefit_under_ESIC_from_time_to_time_through_this_form_16\"><\/span>Form 16 can be used to make claims for the periodic payment of disability benefits under ESIC. If the Insured Person dies while working in a factory, his\/her nominee can get the benefit under ESIC from time to time through this form 16.<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h3><span class=\"ez-toc-section\" id=\"What_needs_Form_19_and_Form_20\"><\/span><b>#What needs Form 19 and Form 20?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"Form_19_is_used_to_claim_maternity_benefits_and_it_is_required_to_submit_Form_19_to_get_leave_during_the_insured_persons_maternity_time_This_Form_20_helps_in_availing_maternity_benefit_in_case_of_death_of_the_insured_pregnant_woman_Additionally_see_this_Maternity_Benefits_under_ESIC_get_all_the_details_for_it\"><\/span>Form 19 is used to claim maternity benefits and it is required to submit Form 19 to get leave during the insured persons&#8217; maternity time. This Form 20 helps in availing maternity benefit in case of death of the insured pregnant woman. Additionally, see this <a href=\"https:\/\/www.legalsalaah.com\/blog\/maternity-benefits-under-esic\" target=\"_blank\"><b><font color=\"#0000ff\">Maternity Benefits under ESIC<\/font><\/b><\/a> get all the details for it.<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h3><span class=\"ez-toc-section\" id=\"What_is_the_use_of_Form_22_and_Form_23_and_Form_24_under_ESIC\"><\/span><b>#What is the use of Form 22 and Form 23 and Form 24 under ESIC?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"Form_22_is_used_for_claim_funeral_expenses_of_an_insured_person_The_Funeral_fund_was_raised_from_Rs_10000_to_Rs_15000_Form_23_is_a_life_certificate_for_the_benefit_of_the_dependent_Insured_Persons_dependents_have_to_give_their_life_certificate_to_ESIC_every_year_to_get_ESIC_benefits\"><\/span>Form 22 is used for claim funeral expenses of an insured person. The Funeral fund was raised from Rs. 10,000 to Rs. 15,000. Form 23 is a life certificate for the benefit of the dependent. Insured Person\u2019s dependents have to give their life certificate to ESIC every year to get ESIC benefits.<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><span class=\"ez-toc-section\" id=\"This_form_24_is_a_declaration_form_the_dependent_has_to_produce_to_prove_that_heshe_has_neither_remarried_nor_is_receiving_monetary_benefits_from_any_other_source\"><\/span>This form 24 is a declaration form the dependent has to produce to prove that he\/she has neither remarried nor is receiving monetary benefits from any other source.<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h3><span class=\"ez-toc-section\" id=\"What_is_the_use_of_ESIC_claim_Form_32_and_Form_37_and_7A_under_ESIC\"><\/span><b>#What is the use of ESIC claim Form 32 and Form 37 and 7A under ESIC?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"Form_32_%E2%80%93_The_ESIC_has_an_ESIC_contribution_record_that_the_employer_has_to_present_to_the_ESIC_Form_32_helps_to_calculate_the_dependants_profit_correctly\"><\/span><b>Form 32 \u2013<\/b> The ESIC has an ESIC contribution record that the employer has to present to the ESIC. Form 32 helps to calculate the dependant&#8217;s profit correctly.<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><span class=\"ez-toc-section\" id=\"Form_37_and_7A_%E2%80%93_These_forms_are_used_to_as_a_Certificate_of_sickness_and_fitness_for_continued_employment\"><\/span><b><font color=\"#ff0000\">Form 37 and 7A <\/font><\/b>\u2013 These forms are used to as a Certificate of sickness and fitness for continued employment.&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h3><span class=\"ez-toc-section\" id=\"What_is_the_use_of_Form_142_under_ESIC\"><\/span><b>#What is the use of Form 142 under ESIC?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"Form_142_helps_in_making_claims_for_compensation_for_loss_of_one_days_salary_and_reimbursement_allowance_of_an_ESIC_registration_holder\"><\/span>Form 142 helps in making claims for compensation for loss of one day&#8217;s salary and reimbursement allowance of an <a href=\"https:\/\/www.legalsalaah.com\/esi-registration.html\" target=\"_blank\"><b style=\"\"><font color=\"#085294\">ESIC registration<\/font><\/b><\/a> holder.<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h3><span class=\"ez-toc-section\" id=\"What_is_the_procedure_of_Claim_under_ESIC\"><\/span><b>#What is the procedure of Claim under ESIC?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><\/h4>\n<h6><\/h6>\n<h4><span class=\"ez-toc-section\" id=\"ESI_Claim_Procedure\"><\/span><b><font color=\"#ff0000\">#ESI Claim Procedure:<\/font><\/b><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h6><\/h6>\n<h4><span class=\"ez-toc-section\" id=\"To_claim_under_the_ESI_scheme_the_beneficiaries_will_have_to_submit_the_claim_in_the_relevant_ESIC_form_after_filling_it_All_the_above_ESIC_Claim_Forms_are_available_for_download_from_the_ESIC_portal\"><\/span>To claim under the ESI scheme, the beneficiaries will have to submit the claim in the relevant ESIC form after filling it. All the above ESIC Claim Forms are available for download from the ESIC portal.<span class=\"ez-toc-section-end\"><\/span><\/h4>\n","protected":false},"excerpt":{"rendered":"<p>Employees State Insurance is a health insurance scheme that protects workers during medical emergencies. The employee contributes 0.75% of his salary for [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":548,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-301","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-labour-law-employment"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Types of Form for Claim under ESIC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.legalsalaah.com\/blog\/types-of-form-for-claim-under-esic\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Types of Form for Claim under ESIC\" \/>\n<meta property=\"og:description\" content=\"Employees State Insurance is a health insurance scheme that protects workers during medical emergencies. 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