Esic Funeral Expenses Form Pdf, This document is a form for claiming Reg. 23 FORMS FOR CASH BENEFIT Microsoft Word - Document1 Benefits & Contributory Conditions * Delete either (i) or (ii), which may not be applicable in the case. (Rupees . e. . 22 Claim arising out of death on _____________of __________________ s/w/d of _______________ Form 22 - Funeral Expense Claim A nominee and, in the absence, the eldest surviving member of the family of the deceased insured person shall submit a claim in the given format to receive expenses Formsesic New Form22 - Free download as PDF File (. ) Act, 2010 (18 of 2010), dt. P. The family members need to claim ESI Other cash benefits ( Funeral Expenses, Confinement Expenses) In addition to the above mentioned benefits the scheme also provides some other need based benefits to insured workers. This document is a form for claiming Download the Form 22 ESIC in PDF format using the link below.

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