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  • Application For Change In Particulars Of Insured Person

Get Application For Change In Particulars Of Insured Person

Hrsolution.co.in ESIC53 EMPLOYEES STATE INSURANCE CORPORATION Application for Change in Particulars of Insured Person Insurance No.. Employers Code No.. Name of the Insured... Address.. Dated. To.

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How to fill out the Application For Change In Particulars Of Insured Person online

This guide provides a professional and supportive approach to completing the Application For Change In Particulars Of Insured Person online. By following these clear steps, users of all experience levels will be able to successfully fill out the form and request necessary changes.

Follow the steps to complete the application successfully.

  1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
  2. Begin by entering your insurance number in the designated field. This number is crucial as it identifies your insurance records.
  3. Fill in the name of the insured person in the given space, ensuring it matches the name on your insurance documents.
  4. Indicate the date on which you are submitting the application.
  5. Clearly state the changes you wish to request. For each change, specify the original information and the new information you wish to have recorded, such as a change in local office or dispensary.
  6. Sign your application in the designated space, using either a signature or left thumb impression.
  7. Once you have completed the form, review it thoroughly for any inaccuracies or omissions.

Take the first step to update your details; complete the application online now.

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Click Add to open the Nomination Details form. From the Nomination For drop-down list, select the type of account for which you want to nominate your family member. From the Family Member drop-down list, select a family member.

Employees' State Insurance Corporation, Ministry of Labour & Employment, Government of India.

ESIC Form 86 is a certificate of employment. Insured person's employer need to confirm from which date, the said employee is working in the factory. This form also contains particulars of the members of the family.

Registered users can login directly using their CPGRAM user ID and password. Login into CPGRAM. In section "Grievance Detail" select "Others/Not Listed/Not Known" In the "Ministry/Department" Drop Down Select ESIC. In "Subordinate Department/Office" select the Regional Office. Provide details of the complaint. Proceed.

Step 1: Login in employer ESIC portal wither establishment user id and password. Step 2: now click on update particulars of insured person under the employee section on the ESIC portal home page. Step 3: Now enter the IP number of the insured person and click on search.

If the employee wishes to remove a family member from the list of members, he/she can even do so, in the edit option. The employer will issue a new ESIC Pehchan card with the revised information upon completing the update process on ESIC Portal.

How to Change Gender in ESIC Portal? Log into your ESIC portal account. Click on the Update IP Details Link. Enter the employer code and insurance number. The IP details appear when you click on the view button. The Declaration form appears. Change the “Gender” section.

Employees can't able to change their ESIC dispensary, whenever they want to change their ESIC dispensary then they have to contact their employer to change ESIC dispensary in employer portal.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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