Home      About Us    History Who is Who Regional Office Branch Offices Regional Board Dispensaries Medical Board Srinagar Centers Kathua Centers    Schemes   Coverage Contribution Exemption Wage Ceiling Benefits   Benefits  Medical Benefits Sickness Benefits Maternity Benefits Disablement Benefits Dependent Benefits Other Benefits   Implementations    Information    Employers Duties Rights Tips for Employers Factory Registration Record Wages Inspection Role of ESIC Obligations Employees Registration SafeGuards Role of ESIC Occupational Disablement  Contact Us  REGIONAL OFFICE 0191- 2435149, 2435136, 2459682 FAX: 0191-2459568                                                                                                 Download Forms Form for Employers Form 01 Employers' Registration Form Form - 01A Annual information of factory/estt submission form Form 3 Return of Declaration forms Form 5 Return of contributions Form 5a Statement of advance payment of contributions Form 6 Register of employees Form 10 Abstention verification Form 11 Accident Register Form for Employees Form 1 Declaration Form Form 2 Addition / Deletion in Family declaration form Form 9 Claim form for sickness /TDB/ Maternity Form 14 Claim form for Permanent disablement benefit (PDB) Form 15 Claim form for Permanent disablement benefit (PDB) Form 16 Claim form for periodical payments of DB Form 19 Claim for Maternity benefit Form 20 Claim form for Maternity benefit after death of child Form 22 Claim form for Funeral Expenses Form 23 Life certificate Form 24 Dependant