Employees’ State Insurance - Full Life cycle

ESI Registration (Employer’s Code No.)

CRC to Apply for ESI Registration (ESI Employer’s Code No.)

EMPLOYEE to prepare the application for Registration

(Annex. 1- Contains Application Format, List of supporting.)

EMPLOYEE to submit the Application to Regional ESI Office

ESI Office conducts Inspection at CRC Premises

ESI Office allots ESI Code No.

CRC Employee fills Form 1 (Annex 1-Declaration Form)

along with group photograph of family including employee.








You need to to fill Form 3(Annex 2-Return of Declaration Form)

In triplicate and submit it to ESI Local Office along with Form 1 within

10 days from the date of joining of the employee







You need to to collect TIC (Annex 3-Temporary I Card)

From ESI Local Office and to issue the same to employee

(TIC is valid for 90 days)








You need to to follow up for obtaining PIC

(Annex 4 Permanent I Card) From ESI Local Office within

15 to 90 days from the date of issue of TIC










You need to to enter the ESI Insurance No of all the

Employees in Form 7 [Regulation 32]

(Annex-4 Return of Contribution)

The First Step for EMPLOYEE is to maintain a salary register for the purpose of ESI compliance

(Salary-cum-Attendance Register format is based on the

respective States’ Shops & Estt. Act)

EMPLOYEE to update the salary register at the end

of each month for purpose of salary payment.

For ESI monthly compliance, the Consultant/EMPLOYEE is to calculate (Annex 1 - ESI Employee/Employer Cont. Statement) based on details given in salary register.

Consultant/EMPLOYEE to prepare (Annex 2-ESI Monthly Cont. challan)

Deposit the Challan along with Payment Cheque drawn on ‘State Bank of India-ESI A/c’ before 21^st of every month and obtain receipted copy of challan from Bank.

Sr No.	Form/Other Information	Description
ESI Salary includes Basic, DA and all allowances except Washing Allowance
1	Employee ESI Cont. @ 1.75%	@ 1.75% of Monthly Salary Paid (Max Salary Limit for ESI deduction is Rs.6500 p.m. and above Rs.7500 p.m., no ESI deduction to be made from employee’s salary.
2	Employer ESI Cont. @ 4.75%	@ 4.75% of Monthly Salary Paid (Max Salary Limit for ESI deduction is Rs.6500 p.m. and above Rs.7500 p.m., no ESI deduction to be made from employee’s salary.
3	ESI Challan (A/c 1)	This challan gives the details of Employees’ and Employer’s Cont for the particular month, to be deposited in the Bank.
4	Form 1 (Declaration Form)	This form gives the details of employee’s family members and nomination thereof.
5	Form 3 (RDF) Return of Declaration Form	This form shows the list of employees whose ESI Form 1 submitted to ESI Local Office & Insurance Number allotted by ESI Local Office
6	Form 6 (Return of Contribution)	This form gives the details of employee wise contribution deposited with the Bank, to be submitted to ESI Local Office along with Triplicate copy of the challan on before 12th May (for Cont. Period Oct-Mar) and before 11th Nov (for Cont Period Apr-Sept)
7	Form 7 (Regulation 32) Register of Contribution	This forms shows the ESI contribution of Employee on half yearly basis i.e. April –Sept and Oct – March every year.
8	Form 16 (Accident Form)	This gives the details of the employee and accident which is to be submitted to the ESI Local Office, Employee Dispensary within 24 hours if the accident is Fatal and within 48 hours if the accident is Normal.
9	Accident Register U/R 66	This gives the detail information of Accident as per Form 16 submitted to Local Office. This register is required for observation of ESI Inspector at the time of inspection.
10	ESI Inspection Book	ESI Inspector records his observations during the time of inspection.

You need to to prepare half-yearly return in

Form 6 (Annex 1- Return of Contribution) based on

Form 7 (Register of Contribution)







You need to to submit Form 6 in triplicate

along with Triplicate copy of receipted challan to ESI Local Office

before 12^th May for Cont Period Oct to Mar and

11^th Nov for Cont Period Apr to Sept.







You need to to maintain the receipted copy of

the returns for the propose of the inspection