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This category of posts includes complete text of Employees’ State Insurance Act (ESI Act), Employees’ State Insurance (ESI) Rules, and other really important ESI (Employees’ State Insurance) Forms


Objective and Applicability of Employees’ State Insurance Act – The Employees’ State Insurance Act, 1948 primarily gives medical treatment and benefits to the insured persons under this Act and is applicable to any company engaging more than 10 employees drawing salary less than Rs.15,000/- pm.

Share of Contribution – Under this ESI Act, the employer pays – 4.75% and employee pays 1.75% of the wages/ salary.


Wages/ salary under the ESI Act – Wages/ Salary includes basic, Dearness Allowance, House Rent Allowance (HRA), overtime allowance, incentive, bonus, food allowance etc.

Payment of Contribution – Contributions have to be deposited by the employer by 21st day of the following month.

Procedure of Coverage Under the ESI Act – The Social Security Officer (SSO) of the ESI Corporation after inspecting a particular company and finding 10 or more employees drawing salary of less than Rs.15,000/- per month, covers the company under the Employees’ State Insurance Act, 1948. A notice under Form C-11 is issued to the company seeking explanation to the company as to why the company should not be covered under this Act. Once the aspect of coverage is decided, the ESI Corporation calculates the quantum of contribution and sends notice in Form C-18 asking for paying the contribution after giving an opportunity of hearing to the company. Upon hearing the company, order Under Section 45A of the ESI Act, 1948 is passed. This order can be either challenged Under Section 45AA of the ESI Act, 1948 before the Appellate Authority or can be directly challenged Under Section 75 of the ESI Act, 1948 before the Learned Judge, EI Court.

A labour law advocate in Kolkata specialised in ESI matter will be able to guide you more efficiently in this regard.

Voluntary Coverage of Employees – Voluntary coverage is not allowed unlike Provident Fund.

The Employees’ State Insurance Act, 1948 The Employees’ State Insurance Act, 1948
Duplicate ESIC Smart Card Request- ESI FORM FORM72
Form-23 Life Certificate for Permanent Disablement Benefit -ESI FORM Form-23 Life Certificate for Permanent Disablement Benefit
Form-24 Declaration and Certificate for DB -ESI FORM Form-24 Declaration and Certificate for DB
Form-22 Funeral Expenses Claim -ESI FORM Form-22 Funeral Expenses Claim
Form-20 Claim for Maternity Benefit after the death of an IP -ESI FORM Form-20 Claim for Maternity Benefit after the death of an IP
Form-19 Claim for Maternity Benefit and Notice of Work -ESI FORM Form-19 Claim for Maternity Benefit and Notice of Work
Form-16 Claim for Periodical Payment of DB -ESI FORM Form-16 Claim for Periodical Payment of DB
Form 15 -ESI FORM Form-15 Claim for Dependent Benefit
Form 14 -ESI FORM Form-14 Claim for Permanent Disablement Benefit
Form 12 -ESI FORM Form-12 Accident Report from Employer
Form 11 -ESI FORM Form-11 Accident Book
Form 9 -ESI FORM Form-9 Claim for Sickness-TDB-MB
Form 6 -ESI FORM Form-6 Register of Employees
Form 5 A -ESI FORM Form-5(A) Advance Payment of Contribution
Form 5 -ESI FORM Form-5 Return of Contributions
Form 3 -ESI FORM Form-3 Return of Declaration Form
Form 2 -ESI FORM Form-2 Addition-Deletion in Family Declaration Form
Form 1 -ESI FORM Form-1 Declaration Form
Form 01 -ESI FORM Form-01 Employer’s Registration Form
Form 1 A -ESI FORM Form 1(A) Family Declaration Form
ESIC FAQ ESIC-FAQ
Form 142 -ESI FORM ESIC-142 Claim for Conveyance Allowance and Compensation for loss of wages
Form 105 -ESI FORM ESIC-105 Certificate of Entitlement
Form 86 -ESI FORM ESIC-86 Certificate of Employment
Form 71 -ESI FORM ESIC-71 Particulars of contribution in case RC in respect of an IP
Form 63 -ESI FORM ESIC-63 Declaration form regarding payment to the legal heir
Form 53 -ESI FORM ESIC-53 Application for change in particulars of IPs
Form 37 -ESI FORM ESIC-37 Certificate of Re-employment-Continuous employment
Form 32 -ESI FORM ESIC-32 Wage-Contributory Record for DB

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