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Get 22 Number Form Of Esic
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How to fill out the 22 Number Form Of Esic online
The 22 Number Form Of Esic is an essential document for claiming funeral expenses from the Employees' State Insurance Corporation. This guide provides clear, step-by-step instructions to help users complete this form online with ease.
Follow the steps to fill out the 22 Number Form Of Esic online
- Press the ‘Get Form’ button to access the form and open it in your preferred editing tool.
- Begin by entering the details regarding the date of death and the name of the deceased person in the designated fields.
- Input the age of the deceased and the Insurance Number in the appropriate sections of the form.
- Next, specify the last employment details by mentioning the name of the employer and the corresponding code number.
- Select either option (i) or (ii) regarding your relationship to the deceased and fill in the required details about your claim for funeral expenses.
- Indicate the expenditure amount in both numeric and word formats to ensure clarity.
- Sign and print your name in block letters in the designated area, ensuring to include a signature or thumb impression.
- Lastly, have the form attested by an authorized individual as listed in the instructions, including their name, designation, and date.
- After completing all the fields and ensuring accuracy, you can save your changes, download, print, or share the completed form as needed.
Complete your documents online today to streamline your claims.
To obtain form 7B in ESIC PDF format, you can download it from the official ESIC website. Alternatively, local ESIC offices may provide this form upon request. For added convenience, platforms like uslegalforms can assist you in downloading and accessing the form 7B related to the 22 Number Form Of Esic online.
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