|
| FORM NO. |
SUBJECT |
RELEVANT REGULATION |
TO BE USED BY |
| FORM-2 |
Addition/Deletion in Family Declaration Form |
15-B |
Employer |
| FORM-10 |
Claim for Sickness/ Temporary Disablement Benefit/Maternity Benefit |
63 & 89(B) |
IP/Beneficiary |
| FORM-11 |
Accident Book |
66 |
Employer |
| FORM-12 |
Accident Report from Employer |
68 |
Employer |
| FORM-15 |
Claim for Dependent Benefit |
80 |
IP/Beneficiary |
| FORM-32 |
Wage Or Contributory Record For Diablement Benefit |
83(A) |
IP/Beneficiary |
| FORM-37 |
Certificate of Re-employment or continuing Employment |
88, 89 & 91 |
IP/Beneficiary |
| Dependency |
Form of Certificate of Dependency |
89(A) |
IP/Beneficiary |
