I have submitted form 12 of ESIC office, now ESIC office is asking for the Eligibility Form from Employer Side. Sir, Pls guide me what is it & how i can get the same?
From India, Gurgaon
Acknowledge(0)
Amend(0)
2From India, Gurgaon
Acknowledge(0)Amend(0)
pls let us know it is compulsory Thanks & Best Regards Gangadhar
From India , Bangalore
Acknowledge(0)Amend(0)
From India , Bangalore
Acknowledge(0)Amend(0)
accident report is to be filed by employer online at esic.in portal, and copy should be provided to panel doctor / dispensary, with signature and seal. ask your employer to submit it online
Acknowledge(0)Amend(0)
Acknowledge(0)Amend(0)
Seniors Pls Guide over the Eligibility Form. what it is & how we can get the same? Aside Gangadhar :: Accidental report (Form 12) is mandatory to be filled by employer to avail the benefits
From India, Gurgaon
Acknowledge(0)Amend(0)
From India, Gurgaon
Acknowledge(0)Amend(0)
If any accident happens during the duty hours, the employer has to make an entry of the accident in the "accident book of ESIC". Two witnesses sign the incident. In case of duty off hours, the employer is not bound to issue Form 12, as the incident did not occur during duty hours or on his premises, and neither of his employees may witness the same. The employer then submits a brief summary of the accident, which is noted in the accident book, via Form 12 online to ESIC within 48 hours. They also provide a signed copy to the employee or their relative for onward submission to the ESIC dispensary or panel doctor, where the IP is receiving treatment.
You can get the form from the ESIC website here: http://esic.nic.in/downloadableforms...20Employer.pdf
Acknowledge(0)Amend(0)
You can get the form from the ESIC website here: http://esic.nic.in/downloadableforms...20Employer.pdf
Acknowledge(0)Amend(0)
Hi there,
Sir, now online procedures have been introduced in ESIC, and I am not sure about the exact form that may be called the Eligibility Form. However, I have observed that earlier there was FORM ESIC 37, which was used by employers to certify the eligibility of the employees and was required to be submitted to the Branch Office, ESIC, so that the said employee may claim benefits from the said office.
I think if it is the same form ESIC-37, it may be available in printed form at the Branch Office of ESIC, and you can obtain the same from the said office and submit it to the appropriate branch office of ESIC so that the employee may obtain benefits. However, the online link regarding one form called ESIC MED-37 is mentioned as follows. I think it is the same form, and you can confirm the same from your appropriate ESIC Branch Office Manager.
http://esic.nic.in/downloadableforms...employment.pdf
From India, Noida
Acknowledge(0)Amend(0)
Sir, now online procedures have been introduced in ESIC, and I am not sure about the exact form that may be called the Eligibility Form. However, I have observed that earlier there was FORM ESIC 37, which was used by employers to certify the eligibility of the employees and was required to be submitted to the Branch Office, ESIC, so that the said employee may claim benefits from the said office.
I think if it is the same form ESIC-37, it may be available in printed form at the Branch Office of ESIC, and you can obtain the same from the said office and submit it to the appropriate branch office of ESIC so that the employee may obtain benefits. However, the online link regarding one form called ESIC MED-37 is mentioned as follows. I think it is the same form, and you can confirm the same from your appropriate ESIC Branch Office Manager.
http://esic.nic.in/downloadableforms...employment.pdf
From India, Noida
Acknowledge(0)Amend(0)
Form 37 is not in use. TIC or e-pahchan is used now, seeded with Aadhaar card. Go to the portal, edit employee details, >personal details, enter Aadhaar number, save. Go to print employee card, TIC will be visible, get it printed. On the top of it, medical acceptance card link is also available.
TIC would be signed in duplicate, one for the employee and another for his family. Medical acceptance card - just print and hand over. It would be submitted to the panel doctor or ESIC dispensary for enrollment. There is nothing in ESIC like eligibility form or card.
Acknowledge(0)Amend(0)
TIC would be signed in duplicate, one for the employee and another for his family. Medical acceptance card - just print and hand over. It would be submitted to the panel doctor or ESIC dispensary for enrollment. There is nothing in ESIC like eligibility form or card.
Acknowledge(0)Amend(0)
Hi,
The question you are asking about is "eligibility form"...! But the answers you got are irrelevant. The eligibility form is required in case you are approaching a dispensary which is not actually your dispensary. Suppose your dispensary is at one location/city (Ex: HYD), but your dependent's dispensary is at another location/city (Ex: Pune). If your dependent also visited the same dispensary which is HYD, in this case, you are asked to submit the eligibility form. The same form is asked of you if you also visit another dispensary (Ex: Pune). You can download this form at the link below: [ESIC-105 Certificate of Entitlement](http://www.esic.nic.in/downloadableforms/ESIC-105%20Certificate%20of%20Entitlement.pdf)
From India, Hyderabad
Acknowledge(0)Amend(0)
The question you are asking about is "eligibility form"...! But the answers you got are irrelevant. The eligibility form is required in case you are approaching a dispensary which is not actually your dispensary. Suppose your dispensary is at one location/city (Ex: HYD), but your dependent's dispensary is at another location/city (Ex: Pune). If your dependent also visited the same dispensary which is HYD, in this case, you are asked to submit the eligibility form. The same form is asked of you if you also visit another dispensary (Ex: Pune). You can download this form at the link below: [ESIC-105 Certificate of Entitlement](http://www.esic.nic.in/downloadableforms/ESIC-105%20Certificate%20of%20Entitlement.pdf)
From India, Hyderabad
Acknowledge(0)Amend(0)
Dear Friends,
Our learned friend Danush is correct in answering about the eligibility certificate. I will provide some additional information.
This certificate is requested by the dispensary or hospital when you, i.e. an Insured Person (IP), approach them for any special treatment or operation, etc. The certificate is issued by the Branch Office.
Currently, this certificate is available on the ESI portal for the IP. However, the dispensary or hospital will not accept it unless it is signed and stamped by the Branch Office.
Thank you.
From India, Mumbai
Acknowledge(0)Amend(0)
Our learned friend Danush is correct in answering about the eligibility certificate. I will provide some additional information.
This certificate is requested by the dispensary or hospital when you, i.e. an Insured Person (IP), approach them for any special treatment or operation, etc. The certificate is issued by the Branch Office.
Currently, this certificate is available on the ESI portal for the IP. However, the dispensary or hospital will not accept it unless it is signed and stamped by the Branch Office.
Thank you.
From India, Mumbai
Acknowledge(0)Amend(0)Looking for something specific? - Join & Be Part Of Our Community and get connected with the right people who can help. Our AI-powered platform provides real-time fact-checking, peer-reviewed insights, and a vast historical knowledge base to support your search.