There are two ways to access this document depending on your current needs: downloading the blank PDF for manual filling or printing the digital copy via the ESIC portal.

Employers can often download the necessary compliance and medical forms by logging into their ESIC account.

serves as the official identity card for an insured person (IP) under the ESI Act. It acts as proof of employment and insurance coverage. Historically, this form was a physical document containing the details of the insured person and their family members, which needed to be submitted to the local ESIC branch office.

: Acts as a certificate for sickness or fitness to resume work. Essential Information Required

: Requires a signature and code number from the attending doctor to confirm the patient is on their list for treatment.