Download ESIC Reg. Form :19 CLAIM FOR MATERNITY & NOTICE OF WORK EMPLOYEES’ STATE INSURANCE CORPORATION

Download ESIC Reg. Form – 19

Download ESIC Reg. Form – 19 CLAIM FOR MATERNITY & NOTICE OF WORK EMPLOYEES’ STATE INSURANCE CORPORATION

As per ESIC Regulation 88, 89 & 91

88. Claim for maternity benefit commencing before confinement Every insured woman claiming maternity benefit before confinement shall submit to the appropriate local office by post or otherwise—

(i)      a certificate of expected confinement in [Form 18] given in accordance with these regulations,not earlier than fifteen days before the expected date of confinement;

(ii)     a claim for maternity benefit in [Form 19] stating therein the date on which she ceased orwill cease to work for remuneration.

(iii)  within thirty days of the date on which her confinement takes place, a certificate of confinement in [Form 18] given in accordance with these regulations.

89. Claim for maternity benefit only after confinement or for miscarriage

Every insured woman claiming maternity benefit for miscarriage shall within 30 days of the date of the miscarriage, and every insured woman claiming maternity benefit after confinement, shall submit to the appropriate office by post or otherwise a claim for maternity benefit in: [Form 19] together with a certificate of confinement or miscarriage in [Form 18] given in accordance with these regulations.

91.Notice of work for remuneration Except as provided in regulation 89B every insured woman who has claimed maternity benefit shall give notice in [Form 19] if she does work for remuneration on any day during the period for which maternity benefit would be payable to her but for her working for remuneration.

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