Esic Eligibility Form

I have submitted Form 12 to the ESIC office, and now they are asking for the Eligibility Form from the employer's side.Sir, please guide me on what this form is and how I can obtain it.

Accident reports are to be filed by the employer online at esic.in portal, and a copy should be provided to the panel doctor/dispensary with signature and seal. Ask your employer to submit it online.

Please let us know if it is compulsory.Thanks & Best Regards,Gangadhar

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 ...

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...

Form 12 is an accident report and has to be submitted by the employer ONLINE.

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 ...

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...

Seniors,Please guide over the Eligibility Form - what it is and how we can obtain it?Aside, Gangadhar: Accidental report (Form 12) is mandatory to be filled by the employer to avail the benefits.