Download ESIC FORM 20
Download ESIC FORM 20 CLAIM FOR MATERNITY BENEFIT AFTER THE DEATH OF AN INSURED WOMAN LEAVING BEHIND THE CHILD EMPLOYEES’ STATE INSURANCE CORPORATION
As per ESIC Regulation 89-A
89A. Claim for maternity benefit after the death of an insured woman leaving behind the child
For the purposes of the proviso to sub-section (2) of section 50 of the Act, the person nominatedby the deceased insured woman on Form 1 or on such other Form as may be specified by the Director General in this behalf and if there is no such nominee, the legal representative, shall submit to the appropriate office by post or otherwise a claim for maternity benefit, as may be due, in [Form 20] within 30 days of the death of the insured woman together with a death certificate in [Form 21] given in accordance with these Regulations.
