ESIC FORMS Flashcards
1
Q
first/ final/ intermediate
A
form 7
2
Q
Special intermediate certificate
A
form 8
3
Q
Death certificate
A
form 13
4
Q
certificate of pregenencey
A
form 17
5
Q
Certificate of expected confinement/ confinement/miscarriage
A
form 18
6
Q
Maternity benefit death certificate
A
form 21
7
Q
Claim for Sickness/ Temporary Disablement Benefit/Maternity Benefit
A
form 9
8
Q
Accident Book
A
form 11
9
Q
Accident Report from Employer
A
form 12
10
Q
Claim for Permanent Disablement Benefit
A
form 14
11
Q
Claim for Dependent Benefit
A
form 15
12
Q
Claim for periodical payment of Dependent Benefits
A
form 16
13
Q
Claim for Maternity Benefit and notice of work
A
form 19
14
Q
Claim for Maternity Benefit after the death of an Insured Women leaving behind the child
A
form 20
15
Q
Funeral Expenses Claim
A
form 22
