Beruflich Dokumente
Kultur Dokumente
Form Name
Form A
of
form
:-
DEPOSIT
OF
Registration of COMPENSATION FOR FATAL ACCIDENT / Trade Unions Rule 6 (1) 2 Form B Register Trade Unions Rule 6 (1) 3 Form C Certificate of Objective of form / By whom filled up / of Objective of form / By whom filled up / By whom filled up / Procedure for form fill up
Registration of Procedure for form fill up Trade Union 4 Form D Annual Return Objective of form section 28 / By whom filled up up / Procedure for form fill
Sr. No.
Form Name
Form A
Rule 6 (1)
Objective
of
form
:-
DEPOSIT
OF
COMPENSATION FOR FATAL ACCIDENT By whom filled up :- Employer Procedure for form fill up:An employer depositing compensation with the Commissioner under sub-section (1) of section 8, in respect of a workman whose injury has resulted in death shall furnish therewith a statement in Form A.
Form AA
Rule 6 (1)
By whom filled up :- Employer Procedure for form fill up;In case of other than death, deposit with the Commissioner under sub-section (1) of section 8, the employer shall furnish a statement in Form AA
Form B
Rule 6
Objective of form :- RECEIPT FOR COMPENSATION By whom filled up :- Commissioner Procedure for form fill up:-
Form C
Rule 6
Procedure for form fill up 5 Form D Rule 9 Objective of form :- DEPOSIT OF COMPENSATION FOR
NON-FATAL ACCIDENTS, OTHER THAN TO A WORKMAN OR PERSON UNDER LEGAL DISABILITY
By whom filled up:- Employer Procedure for form fill up:An employer depositing compensation in accordance with sub-section (2) of section 8, shall furnish therewith a statement in Form D.
Form E
Rule 9
Objective of form:- RECEIPT FOR COMPENSATION By whom filled up:- Commissioner Procedure for form fill up:-
Form EE
Rule 11
Objective of form:- REPORT OF FATAL ACCIDENTS By whom filled up:- Employer Procedure for form fill up:Section 10B of the Act
requires a report of fatal accident and serious bodily injuries to be given to the Commissioner. This report is required to be in the format prescribed in Form EE.
Form F
Rule 20
By whom filled up:- Applicant Procedure for form fill up:- Where an accident occurs
in respect of which liability to take compensation under this Act arises, a claim for such compensation is to be made before the Commissioner in duplicate in Form F which shall be signed by the applicant. There shall be appended to every such application a certificate, witch shall be signed by the applicant, to the effect that the statement of facts contained in the application is to the best of his knowledge and belief accurate.
Form G
Rule 20
By whom filled up :- Applicant Procedure for form fill up:commissioner by registered May be sent to the or personally, in post
duplicate under the signature of the applicant along with a certificate by the applicant ie the fact are accurate to best of his knowledge.
10
Form H
Rule 20
By whom filled up:- Applicant Procedure for form fill up:11 Form J Rule 39(1) Objective of form:- NOTICE By whom filled up :- Commissioner Procedure for form fill up:12 Form JJ Rule 39(3) Objective of form:- NOTICE By whom filled up:- Commissioner Procedure for form fill up:13 Form K Rule 48 Objective of form:- MEMORANDUM OF AGREEMENT By whom filled up :- Workman Procedure for form fill up:14 Form L Rule 48 Objective of form:- MEMORANDUM OF AGREEMENT By whom filled up:- Workman
Procedure for form fill up:15 Form M Rule 48 Objective of form :- MEMORANDUM OF AGREEMENT By whom filled up:- Workman Procedure for form fill up:16 Form N Rule 49 Objective of form:Agreement Notice to record a Memorandum of
By whom filled up :- Commissioner Procedure for form fill up:17 Form O Rule 49 & Objective of form :50(2)
Agreement Ination of Decision on Recording of
By whom filled up :- Commissioner Procedure for form fill up:18 Form P Rule 50(2) Objective of form:Agreement Refusal to Register Memorandum of
By whom filled up :- Commissioner Procedure for form fill up:19 Form Q Rule 50(2) Objective of form:Show Cause Notice on Refusal to
By whom filled up:- Commissioner Procedure for form fill up:20 Form R Rule 52 Objective of form:- Register of Agreements to be maintained
by the Commissioner