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ESI Return

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About ESI Return

Employees’ State Insurance Corporation ("ESIC") is a statutory corporate body set up under the ESI Act 1948, which is responsible for administration of ESI Scheme. The ESI scheme is a self-financed comprehensive social security scheme devised to protect the employees covered under the scheme against financial distress arising out of events of sickness, disablement or death due to employment injuries.


Form 72

This form is used to request for a duplicate ESIC smart card request.

Form 23

This form is a life certificate form that is required to avail the permanent disablement benefit.

Form 24

This form is a declaration and certificate for availing disablement benefit.

Form 22

This form is used for making a claim for funeral expenses.

Form 20

This form can be used for availing maternity benefits after the death of the insured person.

Form 19

In order to claim maternity benefits and notice of work, this form has to be submitted.

Form 16

For making claims for periodical payment of disablement benefit, this form can be used.

Form 15

This is a form used for making claims for availing dependent benefits.

Form 14

This is a claim form for permanent disability benefit.

Form 12

This is an accident report form from the employer.

Form 11

Accident book.

Form 9

This form is used for making claims for sickness, temporary disablement benefit, and maternity benefit.

Form 6

This a register of the employees.

Form 5A

If any beneficiary wishes to make an advance payment for his/her contribution, he/she can do so by submitting this form.

Form 5

This form is used to return contributions made by the employee.

Form 3

This is a form for return of declaration.

Form 2

To make changes in the declaration form, form 2 is used.

Form 1

This is a declaration form.

Form 01

Employer’s registration form.

Form 1A

Family declaration form.

Form 142

This form is used for making claims for compensation for loss of earnings and conveyance allowance.

Form 105

Certificate of entitlement.

Form 86

Certificate of employment.

Form 63

Declaration form with regards to payment to the legal heir.

Form 53

Application form for change in particulars of insured person.

Form 37

Certificate of re-employment or continuous employment.

Form 32

Wage-contributory record for disablement benefit.


ESI contributions must be made by the employer for all employees having a salary of less than Rs.15,000 per month. The employer must contribute 4.75% and employee must contribute 1.75% of the wages for ESI.

Due Dates

11th May & 11th November of every year.

In audit, EPF & ESI shall be deducted from salary every month and shall be deposited by 15th & 21st of every month respectively.

Frequently Asked Questions

Yes, this is a mandatory requirement for every employer who comes under this act to register their unit/Factory/ Establishment.

Every employer who is covered under this act is required to comply with various compliances like the deposit of monthly contribution, in order to file the half yearly return and report to the ESIC authorities if there is any changes in the business activity, the address, ownership and the management, the maintenance of registers and records etc.

No, the right to receive any benefits under this act is not transferable.

Yes, it is the legal responsibility of the employer to register their unit/Factory/ Establishment under the ESI Act within 15 days from the date when the act becomes applicable to them.

This is the 17-digit unique identification number that is allotted to every registered establishment. This number gets generated through the ESIC portal on the submission of required information by the employer or it is generated on receipt of a survey report from the Social Security Officer.

Once a factory or an Establishment gets covered under the Act, it will continue to be covered notwithstanding the fact that the number of covered employees that were employed at any time falls below the required limit or there is any change in the manufacturing activity.

In addition to the Muster roll, the wage record and the books of Account that are maintained under other laws, the employer is required to maintain the following records for the ESI:-
The accident Register in Form-11
An inspection book.
Immediate employer is also required to maintain the Employee’s Register for the employees deployed to the principal employer.

The registration is a process of recording the information about the entry of an employee into insured employment, under the Act.

The registration of the employees is needed to identify the employee and to provide them with the benefits under the Act which are related to the contributions paid by the employer on behalf of each of the insured employees.

After registration under the scheme the employer can give a temporary identity certificate, affix employee’s photo and then authenticate it for use which will be valid for a period of 3 months. This identity card acts as an identification for both claiming the medical benefit at dispensary/ hospital and for claiming the cash benefits at the ESI branch Office.

The scale of the medical benefit includes the complete medical treatment from start to finish.


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