Get Form 7 (confidential) (deposit This Certificate Within 3 Days With The Appropriate Branch Office To

Filling out the FORM 7 (CONFIDENTIAL) is essential for claiming benefits under the Employees' State Insurance scheme. This guide provides clear instructions to help you accurately complete the form and ensure timely submission online.

Follow the steps to fill out FORM 7 online with ease.

1. Click the ‘Get Form’ button to obtain the form and open it for editing.
2. In the 'Book No.' field, enter the applicable book number as specified by the relevant authority.
3. In the 'Serial No.' section, fill in the appropriate serial number for your records.
4. A stamp from the dispensary must be affixed in the designated area to authenticate the document.
5. The 'Signature or Thumb Impression of the I.P.' field should be completed with your signature or thumb impression as required.
6. In the 'Employer’s Code No.' section, write the unique code assigned to your employer.
7. Specify the date of the first certificate of sickness or disablement in the appropriate field.
8. Fill out the 'Branch Office' name where the form will be submitted for processing.
9. In the 'Name' section, input your full name as required along with your Insurance Number.
10. The medical officer should provide an opinion in the provided sections, noting the necessity for medical treatment and any additional remarks.
11. Complete the attestation by the medical officer with their signature, rubber stamp, and name in block letters, ensuring it is dated.
12. Review all filled sections for accuracy before proceeding to save changes, print, or share the completed form.

Complete your FORM 7 online today to ensure your benefits are secured.