Get Esic Form 22
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How to fill out the Esic Form 22 online
Filling out the Esic Form 22 online can seem daunting, but with a clear understanding of each section, you can complete it confidently. This guide provides step-by-step instructions to help you through the process of submitting a funeral expenses claim.
Follow the steps to successfully complete your claim.
- Click the ‘Get Form’ button to obtain the form and open it in the editing interface.
- Begin by filling in the date of the death in the designated field to indicate when the event occurred.
- Input the name of the deceased person along with their age and Insurance number in the respective spaces provided.
- Select whether you are the eldest surviving member of the deceased's family or if the deceased did not have a family by marking the appropriate option.
- Fill in the amount you spent on the funeral using both numerical and written formats to ensure clarity.
- Complete the signature section, either affixing your signature or thumb impression, as appropriate.
- Include the date and your name in block letters as required in the designated sections.
- If applicable, have the form attested by a qualified authority, ensuring their name and designation, along with the date, are included.
- Review the completed form for accuracy before proceeding to save, download, or print.
Complete your documents online for a smooth and efficient filing process.
The ESI declaration form is a crucial document that helps register employees under the Employee State Insurance scheme. It contains personal information of the employees and confirms their eligibility for ESI benefits. Completing this form accurately ensures that employees can access medical facilities and other benefits. Utilize US Legal Forms to download ready-to-use templates and navigate through the requirements related to Esic Form 22.
Fill Esic Form 22
The eldest surviving member of the family of the deceased insured person shall submit a claim in the given format to receive expenses incurred towards funeral. (Regulations 88 and 89). The ESIC Form-22 for making the Funeral Expenses Claim is available. Employee State Insurance Scheme allows dependents of deceased ESIC members to receive a sum of Rs 15000 for funeral expenses. ESIC form 22 is used to claim funeral expenses for ESIC members who have passed away. ESI provides a payout of an amount to dependents of deceased members. Form 22 - Maternity Benefit - Claim for Benefit. Pdf, 71.9 KB. FORM 22 FUNERAL EXPENSES CLAIM FORM. ESIC form 22 is known as funeral expenses claim form, this is used to claim funeral expenses of deceased ESIC member. In case of the death of an employee, ESI will provide funeral expenses to the family members.
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