Get Esic Empanelment Application Form 2020

Filling out the Esic Empanelment Application Form is a crucial step for hospitals seeking to be empaneled for secondary care treatment. This guide offers a clear and structured approach to completing the application form online, ensuring that all necessary information is provided appropriately.

Follow the steps to correctly fill out your application form.

1. Click the ‘Get Form’ button to obtain the application form and open it in your preferred digital editor.
2. Begin filling out your details in the designated fields, ensuring accuracy in your inputs. This includes naming your hospital and providing contact details.
3. Fill in the contact information for the authorized person in your organization, including their name, designation, and contact numbers.
4. Specify the bed strength of the hospital, including any ICU beds available, along with confirming other available facilities.
5. Attach relevant documents, such as the rate lists for non-ESIC patients, as well as proof of qualifications for specialists in your organization.
6. Complete all annexures as required by the form, ensuring that each page is signed where necessary.
7. Review all the information you have entered for completeness and accuracy.
8. Save the completed application form in your digital storage, and prepare it for submission.
9. Once satisfied with the form, print the document and gather any additional physical documents required for submission.
10. Finally, submit the form and the associated documents either in person or through a secure postal service, before the specified deadline.

Complete your Esic Empanelment Application Form online today to ensure you meet the necessary guidelines and deadlines.