| Form Name | | Pages |
| EMPLOYEES STATE INSURANCE |
| ESI-001 APPLICATION FOR ENROLLMENT BY EMPLOYER | View | 2 |
| ESI-001A FORM OF ANNUAL INFORMATION ON FACTORY/ESTABLISHMENT COVER UNDER ESI ACT (Regulation 10C) | View | 2 |
| ESI-01 EMPLOYEES DECLARATION FORM | View | 2 |
| ESI-01A FAMILY DECLARATION FORM | View | 1 |
| ESI-01B CHANGE IN FAMILY DECLARATION FORM | View | 1 |
| ESI-02 ADDITION/DELETION IN FAMILY DECLARATION FORM | View | 1 |
| ESI-03 RETURN OF DECLARATIONS | View | 2 |
| ESI-05 RETURN OF CONTRIBUTION | View | 2 |
| ESI-05A STATEMENT OF ADVANCE PAYMENT OF CONTRIBUTIONS MADE FOR THE
CONTRIBUTION PERIOD | View | 1 |
| ESI-05 RETURN OF CONTRIBUTIONS | View | 2 |
| ESI-06 REGISTER OF EMPLOYEES [FLAPPED] 1/4 QR. BOUND | View | 2 |
| ESI-09 CLAIM FOR SICKNESS/T.D.B./MATERNITY BENEFIT FOR SICKNESS | View | 1 |
| ESI-11 ACCIDENT REGISTER 1/4 QR. NON-BOUND | View | 2 |
| ESI-12 ACCIDENT REPORT FROM EMPLOYER | View | 2 |
| ESI-14 CLAIM FOR PERMANENT DISABLEMENT BENEFIT | View | 1 |
| ESI-15 CLAIM FORM FOR DEPENDANTS BENEFIT | View | 2 |
| ESI-16 CLAIM FOR PERIODICAL PAYMENTS OF DEPENDANTS. BANEFIT | View | 1 |
| ESI-19 CLAIM FOR MATERNITY & NOTICE OF WORK | View | 1 |
| ESI-20 CLAIM FOR MATERNITY BENEFIT AFTER THE DEATH OF AN INSURED
WOMAN LEAVING BEHIND THE CHILD | View | 1 |
| ESI-23 LIFE CERTIFICATE FOR PERMANENT DISABLEMENT BENEFIT | View | 1 |
| ESI-24 DECLARATION & CERTIFICATE FOR DEPENDANTSí BENEFIT | View | 1 |
| ESI-32 WAGE/CONTRIBUTORY RECORD FOR DIABLEMENT BENEFIT | View | 1 |
| ESI-37 CERTIFICATE OF RE-EMPLOYMENT/CONTINUATION | View | 1 |
| ESI-53 APPLICATION FOR CHANGE IN PARTICULARS OF INSURED PERSON | View | 1 |
| ESI-63 DECLARATION FORM | View | 1 |
| ESI-71 CLAIM FOR BENEFIT UNDER E.S.I.SCHEME | View | 2 |
| ESI-72 LOSS OF IDENTITY CARD | View | 1 |
| ESI-86 EMPLOYMENT CERTIFICATE | View | 1 |
| ESI-RECONCILLIATION | View | 1 |
| ESI-CHALLAN FOR PAYMENT | View | 4 |
| ESI-105 CERTIFICATE OF ENTITLEMENT | View | 1 |