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Forms
Forms
Form01
:
Employers' Registration Form
(Word Format)
(
PDF Format
)
Form01(A)
:
Form of Annual Information on Factory/Establishment
(Word Format)
Form1
:
Declaration Form
(Word Format)
(
PDF Format
)
Form1A
:
Family Declaration Form
Form1B
:
Changes in Family Declaration Form
Form3
:
Return of Declaration Forms
Form4
:
Identity Card
Form4(A)
Family Identity Card
Form5
Return of Contributions
Form7
FIRST/INTERMEDIATE/FINAL CERTIFICATE
Form8
SPECIAL INTERMEDIATE CERTIFICATE
Form10
Abstention verification in r/o Sickness Benefit/Temporary Disablement Benefit/MB
Form12
Sickness of Temporary Disablement Benefit
Form12A
Maternity Benefit for Sickness
Form13
Sickness or Temporary disablement or maternity benefit for sickness
Form13A
Maternity benefit for sickness
Form14
Sickness or temporary disablement or maternity benefit for sickness
Form14A
Maternity Benefit for Sickness
Form16
Accident report from employer
Form17
Dependant's or funeral benefit (Death Certificate)
Form18
Dependant's Benefit (Claim Form)
Form18A
Dependant's Benefit ( Claim for periodical payments)
Form19
Maternity Benefit ( Notice of Pregnancy)
Form20
Maternity Benefit ( Certificate of Pregnancy)
Form21
Maternity Benefit (Cetificate of expected confinement)
Form22
Claim for Maternity Benefit
Form23
Maternity Benefit (Certificate of confinement or miscarriage)
Form24
Maternity Benefit (Notice of work)
Form25
Claim for Permanent Disablement Benefit
Form26
Certificate for permanent disablement benefit
Form27
Declaration and certificate for depenant's benefit
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