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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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