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gov.in EMPLOYEES STATE INSURANCE CORPORATION REG. FORM- 10 CONFIDENTIAL ABSTENTION VERIFICATION IN RESPECT OF SICKNESS BENEFIT/ TEMPORARY DISABLEMENT BENEFIT / MATERNITY BENEFIT Regulation 52-A From The Manager Branch Office E.S.I. Corporation To M/s Subject Verification of abstention from work in respect of Shri/Smt. /Kum Ins.No. Department Dear Sir s The above named employee of your factory has submitted a certificate of incapacity for the period from to and has declared that he/ she has not ...

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What is the use of Form 37 in ESIC?

Form ESIC- MED 37/ESIC-MED 7A. BRO-266. This is a certificate for continuing in employment or re-employment and an application for acceptance of medical treatment. Note:This is used for the registration of temporary identity Card with the medical practitioner and to have the medical treatment.

What are the forms in ESIC?

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.

How can I download ESIC claim form?

The application Form may be downloaded from our website www.esic.nic.in and the application fee of Rs. 500/-(Non-refundable) be submitted by way of Demand Draft/Bankers Cheque in favour of ESI Fund A/c No.

What is Form 10 under ESIC?

ESIC Form 10 used for insured person not capabale for attend job during medical problem and take treatment from esic hospital.