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  • Esic Form 22

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EMPLOYEES STATE INSURANCE CORPORATION REG. FORM 22 FUNERAL EXPENSES CLAIM FORM (Regulation 95E) Claim arising out of death on . . . . . . . . . . . . . . . of . . . . . . . . . . . . . . . . . . .

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Esic form 10 Questions & Answers

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The ESI scheme is a self-financed comprehensive social security scheme devised to protect the employees covered under the scheme against financial distress arising out of events of sickness, disablement or death due to employment injuries. ...

The Form-20 to Claim for Maternity Benefit after the death of an Insured Women leaving behind the child is available. The form is provided by the Employee's State Insurance Corporation, Ministry of Labour and Employment, Government of India.

Maternity BenefitESIC provides 100% of average daily wages in cash up to 26 weeks in confinement and 6 week in case of miscarriage, during maternity leave and 12 weeks for commissioning mother and adopting mother.

ESIC has prescribed Form 22 to claim funeral expense of deceased ESIC member. The family members need to claim ESI funeral expenses within 6 months from the date of the death of the insured person by filing Form 22 with the ESIC Ofice where the deceased employee was covered.

Date of death. Name of the insured person ( deceased person) Relationship name of the deceased person. Age of the deceased person. ESIC IP number. Last worked job details. ESIC funeral benefit amount 15000 Rs (maximum). Name and details of the claimant.

ESIC Form-9 to Claim for Sickness/Temporary Disablement/Maternity Benefit. You can get the ESIC Form-9 to make a Claim in case of Sickness/Temporary Disablement/Maternity Benefit as provided by the Employees' State Insurance Corporation, Ministry of Labour and Employment, Government of India.

Funeral Expenses : An amount of Rs. 15,000/- is payable to the dependents or to the person who performs last rites from day one of entering insurable employment.

Maternity benefits available under the ESI scheme The ESI scheme provides maternity benefits at the rate of full wage subject to an insured woman's contribution for at least 80 days in the preceding two consecutive contribution periods. ... A woman who legally adopts a child of up to three months of age.

Maternity benefits available under the ESI scheme The benefits are available to insured women for up to a period of twenty-six weeks (extendable by one month on medical advice), of which not more than eight weeks shall precede the expected date of confinement.

As mandated by the ESI Act, treatment has to be taken only from the ESIC hospitals or dispensaries. However, in case of emergency, if the treatment is taken from a private hospital, you can raise a claim with the ESIC subject to ESIC approval.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232