DATE Month Act

Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec
By 1st ok Minimum Wages Act

By 1st ok Payment of wage act

By 8th ok ok ok ok ok ok ok ok ok ok ok ok ESIC

By 8th ok ok ok ok ok ok ok ok ok ok ok ok P.F.

Before 12th ok ok ESIC

Before 15th ok ok ok ok ok ok ok ok ok ok ok ok P.F.

Before 15th ok Factory Act, 1948

Before 15th ok Factory Act, 1948

By 15th ok ok THE APPRENTICESHIP ACT, 1961

By 15th ok ok THE APPRENTICESHIP ACT, 1961

By 15th ok Contract Labour Act

By 15th ok ok ok ok Employment Exchange Act

By 15th ok ok ok ok ok ok ok ok ok ok ok ok P.F.

By 15th ok ok ESIC

By 15th ok ok ok ok ok ok ok ok ok ok ok ok ESIC

By 20th ok ok ok ok ok ok ok ok ok ok ok ok P.F.

Before 21st ok ok ok ok ok ok ok ok ok ok ok ok ESIC

Before 21st ok Maternity Benefit Act

ok ok ok ok ok ok ok ok ok ok ok ok ESIC
By 21st
Before 25th ok ok ok ok ok ok ok ok ok ok ok ok P.F.

By 25th ok Annual

By 25th ok Annual

By 25th ok P.F.

By 25th ok ok ok ok ok ok ok ok ok ok ok ok P.F.
Before 30th ok ok Contract Labour Act

Before 30th ok Employment Exchange Act

Before 30 th ok Factory Act, 1948

Before 30th ok Payment of Bonus Act

By 30th ok Payment of Bonus Act

By 30th ok ESIC
Before 31st ok ESIC

Before 31st ok Contract Labour Act

Before 31st ok Welfare Fund Act

By 31st ok Factory Act, 1948

By 31st ok ESIC
ok ok ok ok ok ok ok ok ok ok ok ok Monthly Statutory
Register
FORM-13A/13 Transfer of PF Account-After receiving from the members-as & when require P.F.
Eligibility Register Updating,Allotment of P.F. Nos.-As & when new employee join-As & when required P.F.
PF Inspection Book-To keep ready for the Inspection P.F.
FORM-17 -Register of employees contribution ESIC
Accident register
Inspection book
ESIC
FORM-1 Declaration Form, FORM-3 Return of Declaration Form-With in 10 days from the date of
appointment-As & when required
FORM-16 Accident Report-With in 24Hrs.-As & when required ESIC
Insurance Nos. to be obtained from the Local Office for the new employees-As & when required ESIC
FORM-2 Notice of occupation-Within 30days from the date of Expiry-Yearly Factory Act, 1948
FORM-18 Notice of Accident-Within 48 Hrs.-as & when required Factory Act, 1948
FORM-18 A Notice of serious AccidentsWithin 4 Hrs.-as & when required Factory Act, 1948
FORM-2A Change of Manager -Within 7 days of the new manager taking charge-as & when required Factory Act, 1948
FORM-8 Test of pressure Vessal-Half Yearly Factory Act, 1948
FORM-7 Record of white washing-as & when required Factory Act, 1948

FORM-37 Report of examination of Hoist and lift-Half Yearly Factory Act, 1948

Amendment of Licenses & when required Factory Act, 1948

FORM-12-Register of Adult workers Factory Act, 1948

FORM-15-Register of leave with wages-Yearly
FORM 26-Accident register with forms-Monthly
FORM 25-Muster roll & wage register-Daily
FORM 35-Inspection book-as & when required
FORM 9-Register of compensatory holidays & overtime
FORM 10-Muster roll for exempted workers

Form-11 Notice to be checked

List of holidays Notice to be checked
Abstract of the Act Notice to be checked
Name &Adress of FI, LO,LI,& DLC Notice to be checked
Register in FORM XIII Contract Labour Act
Register of wages, fines (form B), deduction for damages or losses & advance, notice of :-abstract,rate of payment of wage act
wages, date of payment of wages-monthly maintainance, monthly checking
Notice to be displayed:-rate of minimum wages, abstract of the act, name & address of the inspector, weekly Minimum Wages Act
holiday, working hours, time & payment of wages

FORM-D register Equal remuneration act

industrial employment standing orders act

child labour (P&R) Act

workmen compensation act

inter state migrant workment act

professional tax act

labour welfare fund
payment of grutuity act

THE INCOME TAX

ACT
THE (State) SHOPS
AND INDUSTRIAL
ESTABLISHMENT
ACT.
trade union act
industrial dispute Act
company law
foreign exchange
management act
THE (State)
GENERAL SALES
TAX ACT
national & festival holiday
THE CENTRAL
SALES TAX ACT
CENTRAL EXCISE
TARIFFS AND
MANUALS.
THE INDUSTRIES
DEVELOPMENT &
REGISTRATION
ACT
THE STANDARD
OF WEIGHTS &
MEASUREMENTS
ACT
NAME OF THE STATUTORY RETURN & FORM

FORM III RULE 21 (4A)-ANNUAL RETURN to be

sent to INSPECTOR UNDER THE AREA
CONCERNED
FORM IV,V RULE 18, VII, VIII RULE 16 -ANNUAL
RETURN to be sent to CONCERNED
LABOUR/REGIONAL COMMISSIONER
Preparation of Statement and giving to the A/C
Preparation of Statement and giving to the A/C
FORM 6 SEC. 44, REGULATION 26- ESIC Half
Yearly return-SUMMARY OF CONTRIBUTION IN
QUADRUPLICATE ALONGWITH CHALLANS
MONTHLY RETURN WITH CHEQUE to be sent to
CONCERNED LOCAL OFFICE OR SCHEDULED
BANK

Remittance of PF/FPF
Form 21 ( Annual Return) to be sent to CHIEF
INSPECTOR OF FACTORIES
FORM-22 Half Yearly Return to be sent to
CONCERNED DIRECTOR/INSPECTOR
FORM APP-2-Report in respect of Trade apprentices
receiving training in the establishment to be sent to
CONCERNED REGIONAL DIRECTOR/ADVISOR
and DY. APPRENTICESHIP ADVISOR respectively
FORM APP-3-giving particulars of trade apprentices
who satisfy the minimum conditions of eligibility to
appear in the trade test in March or September to be sent
to CONCERNED REGIONAL DIRECTOR/ADVISOR
and DY. APPRENTICESHIP ADVISOR respectively

FORM XXV RULE 82(2) ANNUAL RETURN BY

PRINCIPAL EMPLOYER to be sent to CONCERNED
REGISTERING OFFICER
FORM ER-1 -QUARTERLY RETURN FOR
QUARTER ENDED 31ST DEC. PREVIOUS
YEAR,31st March,31st June & 30th September to be
sent to LOCAL EMPLOYMENT EXCHANGE or
concerned employment officer

Preparation of challans & submit to Bank with Cheque,

Reconciliation for half yearly

Posting in FORM-7 Register and reconciliation thereof
To collect challans from Bank
Remittance of Contributions
Form L,M, N,O -ANNUAL RETURN & DETAILS OF
PAYMENT ENDING 31 DEC. to be sent to
COMPETENT AUTHORITY UNDER THE ACT
Preparation of challans & submission to Bank with
Cheque
Form 5--Return of new employees (Addition),
form 10 --Return of member left (Deletion),
FORM-12A Statement of contributions,
FORM-11 Checking,Procesing & filing (Balance sheet)
FORM-2 Checking,Processing & a copy to be submitted
alongwith monthly return

FORM A-list of holiday to be sent to CONCERNED

INSPECTOR in the labour department
NOC from fire office

FORM-3A Individual contribution card & FORM-6A

Summary of Form 3-A-(Annual return) to be sent to
CONCERNED REGIONAL OFFICE
Entry in the P.F ledger
 FORM XXIV {RULE 82(1)}HALF YEARLY
RETURN BY CONTRACTOR (IN DUPLICATE) to be
sent to CONCERNED LICENCING AUTHORITY or
CONCERNED INSPECTOR
Form ER-2 in every 2 years

Form 2 Renewal fees

Form A, B,C

FORM D RULE 5-ANNUAL RETURN -to be sent to

CONCERNED INSPECTOR UNDER THE ACT
FORM-6 Return of Contributions
FORM 01A (ESI REGULATION 10 C) ANNUAL
INFORMATION ABOUT FACTORY COVERED
UNDER THE ACT to be sent to REGIONAL OFFICE

FORM VII RULE 29 (2) STATE RULE

-APPLICATION FOR RENEWAL OF LICENCE
LICENCE RENEWAL FEE to be sent to CONCERNED
INSPECTOR
Deposit in Fund A/c
FORM-31 Accident Annual Return (FORM-21 Annual
Return)
FORM-6 Return of Contributions
Daily / End of the month

Register to be maintained

tice to be checked
tice to be checked
tice to be checked
tice to be checked
ional & festival holiday
 Type & Nature of
S.No. Description of the Form
Document

1 Form A Application for registration of trade union

2 Form B Register of trade unions

3 Form C Certificate of Registration of Trade Union

4 Form D Annual Return For the year ending 31st March

 Schedule of Submission / Submitting
Relevant Clause
Maintenance Authority

As & when a trade union comes into Registrar of Trade

Section 5 & Regulation 3
existence Unions

Section 8 & Regulation 4 To be maintained by the Registrar of trade unions, up to date

Section 9 & Regulation 5 To be issued by the Registrar Of Trade Unions on registering a trade union

Registrar of Trade
Section 28 & Regulation 12 By 31st July each year
Unions
 Remarks Checked on

The application to be
accompanied by a copy of the
rules of trade union and other
particulars
s, up to date

n registering a trade union

 Type & Nature of
S.No. Description of the Form
Document

1 Form A Deposit of compensation for fatal accident

Deposit of compensation for non fatal accident to a woman or

2 Form AA
person under legal disability

3 Form B Receipt for compensation

4 Form C Statement of disbursements

Deposit of compensation for non-fatal accidents, other than to

5 Form D
a woman or person under legal disability
6 Form E Receipt for compensation

7 Form EE Report of fatal accidents

8 Form F Application for compensation by workman

9 Form G Application for order to deposit compensation

10 Form H Application for commutation

11 Form J Notice

12 Form JJ Notice
Memorandum Of Agreement concerning injury resulting in
13 Form K
temporary disablement
Memorandum Of Agreement concerning injury resulting in
14 Form L
permanent disablement
Memorandum Of Agreement concerning injury resulting in
15 Form M
temporary disablement

16 Form N Notice to record memorandum of agreement

17 Form O Notice to not record memorandum of agreement

18 Form P Notice of show cause

19 Form Q Notice of show cause

20 Form R Register Of Agreements

 Schedule of Submission /
Relevant Clause Submitting Authority
Maintenance

To be submitted by the employer as &

The Workmen's Compensation
Rule 6(1) when an injury resulting in death
Commissioner
occurs.
To be submitted by the employer as & The Workmen's Compensation
Rule 6(1)
when an injury occurs. Commissioner
To be given by the Commissioner to the employer on receipt of form A
Rule 6
or B
To be furnished by the Commissioner to the employer on receipt of
Rule 6(3)
application
To be submitted by the employer as & The Workmen's Compensation
Rule 9
when an injury occurs. Commissioner
Rule 9 To be given by the Commissioner to the employer on receipt of form D

Within 7 days of death or serious The Workmen's Compensation

Rule 11
bodily injury Commissioner
To be made by the applicant and sent to the commissioner
Rule 20

Rule 20 To be made by the applicant and sent to the commissioner

Rule 20 To be made by the applicant and sent to the commissioner

Rule 39 To be issued by the commissioner to the applicant for compensation

Rule 39(3) To be issued by the commissioner to the applicant for compensation

To be sent by the employer to the commissioner

Rule 48

To be sent by the employer to the commissioner

Rule 48

To be sent by the employer to the commissioner

Rule 48

To be issued by the commissioner to the parties concerned on receiving

Rule 49
a memorandum of agreement
To be issued by the commissioner to the parties concerned on receiving
Rule 49 & 50 a memorandum of agreement , stating reasons for failure to record the
memorandum of agreement
 To be issued by the commissioner to the parties stating a date for
Rule 50 hearing the parties and giving them an opportunity to show cause why
the said agreement ought to be registered.
To be issued by the commissioner to the parties stating a date for
hearing the parties and giving them an opportunity to show cause why
Rule 50
the said agreement ought to be registered and directing them to make all
representations on the scheduled date
Rule 52 To be maintained by the commissioner up to date
Remarks Checked on
 Apprentices Act Payment Of Gratuity Act

Contract Labour (R&A) Act Industrial Employment Standing Orders Act

Child Labour(P&R) Act Employees Provident Fund & Misc. Provisions Act

Industrial Disputes Act Equal Remuneration Act

Minimum Wages Act Employees' State Insurance Act

Payment of Bonus Act Payment Of Wages Act

Type & Nature of

S.No. Description of the Form
Document

Application for registration of establishments

1 Form I
employing migrant workmen

2 Form II Certificate Of Registration

3 Form III Register Of Establishment

4 Form IV Application for license for recruitment

5 Form V Application for license for employment

6 Form VI Form of Certificate by Principal Employer

7 Form VII Application for adjustment of security deposit

8 Form VIII Form of license

9 Form IX Application for renewal of license

 Form furnishing particulars in respect of
10 Form X
recruitment and employment of migrant workmen

11 Form XI Return to be sent by the contractor to the authorities

12 Form XII Register Of Contractors

13 Form XIII Register Of Workmen employed by contractors

14 Form XIV Service Certificate

15 Form XV Displacement & Outward journey allowances sheet

16 Form XVI Return Journey allowances Register

17 Form XVII Muster Roll

18 Form XVIII Register of Wages

19 Form XIX Register Of Deductions for damage or loss

20 Form XX Register Of Fines

21 Form XXI Register Of Advances

22 Form XXII Register Of Overtime

Half Yearly Return to be sent by the contractor to

23 Form XXIII
the Licensing Officer

Annual Return to be sent by the Principal Employer

24 Form XXIV
to the Registering Officer
Factories Act

Employment Exchanges(CNV) Act

Trade Unions Act

Workmen's Compensation Act

Inter-State Migrant Workmen Act

Back To Main Page

Schedule of Submission /
Relevant Clause Submitting Authority
Maintenance

Registering Officer of the area in

Rule 3(1) As & when required which the establishment sought to
be registered is located

To be issued by the registering officer to the principal employer once he registers the est
Rule 4(1)

To be maintaied by the registering officer showing particulars of establishments in relati

Rule 4(2)
certificates of registration are issued by him
To be made in triplicate by the contractor to the licensing officer having jurisdiction in r
Rule 7(1)
area wherein recruitment is made
To be made by every contractor to the licensing officer for employing migrant workmen
Rule 7(2)

To be issued by the Principal Employer to the contractor to the effect that he undrtakes t
Rule 7(3) all rules related to recruitment or employment of migrant workmen, in respect of which
making the application.
To be made by a contractor to the licensing officer claimig therein the refund of security
Rule 10(3)

Every license issued by the licensing officer shall be in this form

Rule 11(1)

To be made by the contractor to the licensing officer thirty days before the date on which
Rule 14(2)
expires
 To be furnished by every contractor to the specified authorities under the act in respect o
Rule 21
and employment of migrant workmen
To be furnished by every contractor to the specified authorities under the act in respect o
Rule 24
wormen who have ceased to be employed
To be maintained by every principal employer of a registered establishment
Rule 48

To be maintained by the principal employer and contractor in respect of migrant workm

Rule 49

To be issued by the contractor to the migrant workman/en on termination of his employm

Rule 50
reason whatsoever
To be maintained by every contractor in respect of displacement cum outward journey a
Rule 51(1)

To be maintained by every contractor in respect of return journey allowances

Rule 51(1)

To be maintained by every contractor in respect of migrant workmen

Rule 52(2)(a)

To be maintained by every contractor in respect of migrant workmen

Rule 52(2)(a)

To be maintained by every contractor

Rule 52(2)(c)

To be maintained by every contractor

Rule 52(2)(c)

To be maintained by every contractor

Rule 52(2)(c)

To be maintained by every contractor

Rule 52(2)(d)

To be sent by the contractor in duplicate to the licensing officer not later than thirty days
Rule 56(1)
of half year
To be sent by the Principal employer of a registered establishment in duplicate to the reg
Rule 56(2)
before 15th February following the end of the year to which it relates
 Remarks Checked on

Application to be
accompanied by a crossed
demand draft and delivered
either by registered post or
by hand
er once he registers the establishment

of establishments in relation to which

er having jurisdiction in relation to the

ploying migrant workmen

effect that he undrtakes to be bound by

men, in respect of which the contracto is

rein the refund of security deposit

s before the date on which the license

s under the act in respect of recruitment

s under the act in respect of migrant

establishment

respect of migrant workmen employed

ermination of his employment for any

nt cum outward journey allowances

ney allowances

rkmen

rkmen

r not later than thirty days from the close

ment in duplicate to the registering Officer

relates
 S.No. Type & Nature of Document Description of the Form

Form of complaint under clause (a) of sub section (1) of

1 Form A
section 7 of the act

2 Form B Claim form under Section 7(1) of the act

Form Of Authority in favour of legal practitioner or any

3 Form C
official of a registered Trade Union

4 Form D Register to be maintained by the Employer

 Schedule Of Submission /
Relevant Clause Submitting Authority
Maintenance

Appropriate authority appointed

Rule 3(1) As & when needed
under Section 7(1)

Appropriate authority appointed

Rule 4(1) As & when needed
under Section 7(1)

Appropriate authority appointed

Rule 5 As & when needed
under Section 7(1)

Rule 6 To be maintained up to date ---

 Remarks Checked on

To be submitted in triplicate

To be submitted in triplicate
 Type & Nature of
S.No.
Document

1 Form A

2 Form B

3 Form C

4 Form D

5 Form E

6 Form F

7 Form G

8 Form H

9 Form I

10 Form J

11 Form K

12 Form L

13 Form M

14 Form N
15 Form O

16 Form P

17 Form Q

18 Form R

19 Form S

20 Form T

21 Form U
 Description of the Form Relevant Clause

Notice Of Opening Rule 3 (1)

Notice Of Change Rule 3 (2)

Notice Of Closure Rule 3 (3)

Notice for excluding husband from family Rule 5 (1)

Notice of withdrawal of notice for excluding husband from

Rule 5 (2)
family

Nomination Rule 6 (1)

Fresh Nomination Rule 6 (3)

Modification Of Nomination Rule 6 (4)

Application for gratuity by an employee Rule 7 (1)

Application for gratuity by a nominee Rule 7 (2)

Application for gratuity by a legal heir Rule 7 (3)

Notice for payment of gratuity Rule 8 (1)

Notice rejecting payment of gratuity Rule 8 (1)

Application for direction Rule 10 (1)

Notice for appearance before the controlling authority Rule 11 (1)

Summons Rule 14

Particulars of application under Section 7 Rule 16(1)

Notice for payment of Gratuity Rule 17

Notice for payment of Gratuity as determined by appellate

Rule 18(8)
authority

Application for recovery of gratuity Rule 19

Display of abstract of the act and rules Rule 20

 Schedule of Submission / Maintenance Submitting Authority Remarks

Within 30 days from which the rules Concerned controlling authority

become applicable of the area
Within 30 days of any change in the
Concerned controlling authority
particulars of the establishment like name,
of the area
address or nature of business
Atleast 60 days before the intended closure Concerned controlling authority
of the business of the area
To be submitted by the employee to the employer in triplicate. The employer after receipt forwards a
copy to the concerned controlling authority of the area.
To be submitted by the employee withdrawing the notice in form D to the employer in triplicate. The
employer after receipt forwards a copy to the concerned controlling authority of the area.
To be submitted by the employee to the employer in duplicate. The employer within 30 days of the
receipt of nomination , verify with the service particulars and after attestation return back a copy to the
employee.
To be submitted by the employee within 90 days of acquiring a family to the employer

To be submitted by the employee to the employer , in cases including where a nominee predeceases an
employee
To be submitted by the employee, eligible for payment of gratuity to the employer , within 30 days
from which the gratuity becomes payable.
To be submitted by the nominee of an employee to the employer within 30 days from the date of
gratuity payable to him/her. For this purpose an application in plain paper may also be accepted
To be submitted by the legal heir of an employee, eligible for payment of gratuity , to the employer,
within 1 year from the date of gratuity payable to him/her
On verification of claims made for payment of gratuity, the employer , within 15 days of receipt of an
application , issue a notice to the applicant employee , his nominee or legal heir, specifying the amount
of gratuity payable and fixing a date of payme
On verification of claims made for payment of gratuity, if the claim is found inadmissible, the
employer may issue a notice to the applicant employee, his nominee or legal heir , specifying the
reasons why the claim is found inadmissible
In cases wherein the employer refuses to accept a claim application or issues a notice specifying a

amount of gratuity which is considered less by the applicant or fails to issue a notice under rule 8, the

claimant employee/ his nominee/ legal heir may wi

On receipt of form N , the concerned controlling authority of the area may call upon the applicant and
the employer to appear before him on a specified date, time and place.
The controlling authority may , at any stage of proceedings, issue summons to the applicant or the
employer to produce evidences, documents etc.
The controlling authority to record the particulars of each case in form Q

on subsequent verification of the genuineness of the claims made, the controlling authority to issue a
notice , specifying to the employer , the amount of gratuity payable and directing the employer for
payment of gratuity within 30 days of receipt of not
The controlling authority on receipt of the decision of the appellate authority, modify his direction for
payment of gratuity and issue a notice to the employer, specifying the modified amount of gratuity and
directing payment within 15 days of receipt of
In situations wherein, the employer fails to pay the gratuity due under the act in accordance with the
notice of the controlling authority , the employee/his nominee/legal heir may apply to the controlling
authority in duplicate for recovery
The employer to display an abstract of the act and rules framed thereunder in English and a language
understood by the majority of employees at a conspicuous place or near the main entrance of the
establishment
Checked on
 S.No. Forms Description of the Form

1 Form I Draft Standing Orders

2 Form II Notice under Section 5

3 Form III Register

4 Form IV Appeal

5 Form IV-A Notice of changes in shift working

6 Form V Service Card proforma

 Section / Clause / Schedule of Submission / Submitting
Sub-clause Maintenance Authority

Within six months from the date on

Section 3 which this act becomes applicable to Certifying Officer
an establishment

To be sent by the certifying officer, on receipt of draft standing orders to the trade union
Section 5
requiring any objections from their end
Section 8 To be maintained by the certifying officer. This contains a copy of all certified standing
orders
To be made by any person dsiring to prefer an appeal and forward it in quintuplicate to t
Rule 7-A(1)
appellate authority accompanied by a certified copy of standing orders
Any notice of discontinuance or of restarting of a shift working shall be displayed
Rule 7-A of Schedule I conspicuously by the employer on a notice board at the main entrance to the establishme
A copy of such notice to be given to the secretary of the registered union.
To be maintained by every industrial establishment a service card duly attested by an
Standing order 1 of
schedule I-B
authorised officer in respect of each workman in the form appended to these orders
 Remarks Checked on

This form is to be accompanied

by a statement giving
particulars of the workmen
employed and the name of the
trade union to which they
belong
draft standing orders to the trade union

contains a copy of all certified standing

ppeal and forward it in quintuplicate to the

opy of standing orders

a shift working shall be displayed
d at the main entrance to the establishment.
y of the registered union.
ent a service card duly attested by an

the form appended to these orders

THE CONTRACT LABOUR (REGULATION & ABOLITION) ACT, 1970 & ITS CENTRAL RULES, 1971

Section / Clause / Schedule of Submission /

S.No. Forms Description of the Form Submitting Authority
Sub-clause Maintenance

Registering Officer of the

Application For Registration of Establishments area in which the
1 Form I Rule 17(1) As & when required
employing contract labour establishment sought to be
registered is located

To be granted by the registering officer to the Principal Employer

2 Form II Certificate Of Registration Rule 18(1)

To be maintained by the Registering Officer showing particulars of establishments in relation to

3 Form III Register Of Establishments Rule 18(3)
which certificates of registration have been issued
To be submitted by the contractor for grant of a licence to the licensing officer of the area in which
4 Form IV Application For Licence Rule 21(1)
the establishment, in relation to which he is the contractor, is located

5 Form V Form Of Certificate By Principal Employer Rule 21(2) As & when required Issued by the Principal Employer to the contractor

Application to be made by the Contractor to the licensing Officer

6 Form V-A Application for the adjsutment of security deposit Rule 24(1-A)

Form of licence granted by the Office Of the To be granted by the licensing officer to the Contractor
7 Form VI Rule 25(1)
licensing officer

Notice of Commencement/ Completion Of Contract Within 15 days of commencement & Inspector appointed under
8 Form VI-A Rule 25(2)(viii)
Work by the licencee completion of contract work Sec. 28

Within 15 days of commencement &

Notice Of Comencement/ Completion of contract Inspector appointed under
9 Form VI-B Rule 81(3) completion of contract work under
work by the employer for each contractor Sec. 28
each contractor
To be applied to the licensing officer by the contractor within 30 days before the date on which
10 Form VII Application for renewal of licences Rule 29(2)
licence expires

When conditions arise requiring the Registering Officer of the

Application for temporary registration of employment of contract labour area in which the
11 Form VIII Rule 32(2)
establishments employing contract labour immediately and estimated to last not establishment sought to be
more than 15 days registered is located
 To be granted by the registering officer to the Principal Employer
12 Form IX Temporary Certificate Of Registration Rule 32(3)

To be submitted by the contractor for grant of a licence to the licensing officer of the area in which
13 Form X Application for temporary Licence Rule 32(2)
the establishment, in relation to which he is the contractor, is located
14 Form XI Temporary Licence Rule 32(3) To be granted by the licensing officer to the Contractor

15 Form XII Register Of Contractors Rule 74 To be maintained By the Principal Employer

To be maintained by the contractor in respect of each registered establishment where he employs

16 Form XIII Register of Workmen employed by the contractor Rule 75
contract labour
17 Form XIV Employment Card Rule 76 To be issued by the contractor to each worker within 3 days of employment of worker

To be issued by the contractor to the workman whose services have been terminated for any reason
18 Form XV Service Certificate Rule 77
whatsoever
19 Form XVI Muster Roll Rule 78(1)(a)(i) To be maintained by the contractor in respect of each work on which he engages contract labour

20 Form XVII Register Of Wages Rule 78(1)(a)(i) To be maintained by the contractor in respect of each work on which he engages contract labour

21 Form XVIII Register Of Wages cum Muster Roll Rule 78(1)(a)(i) To be maintained by the contractor in respect of each work on which he engages contract labour

To be issued by the contractor to the workmen atleast a day prior to the disbursement of
22 Form XIX Wage Slip Rule 78(1)(b)
wages( applicable when wage period is one week or more
23 Form XX Register of deductions for damage or loss Rule 78(1)(a)(ii) To be maintained by the contractor in respect of each work on which he engages contract labour

24 Form XXI Register Of Fines Rule 78(1)(a)(ii) To be maintained by the contractor in respect of each work on which he engages contract labour

25 Form XXII Register Of Advances Rule 78(1)(a)(ii) To be maintained by the contractor in respect of each work on which he engages contract labour

To be maintained by the contractor recording therein the number of hours, and wages paid for,
26 Form XXIII Register Of Overtime Rule 78(1)(a)(iii)
overtime work, if any
To be sent by the contractor in duplicate to the licensing officer not later than 30 days from the
Return to be sent by the contractor to the licensing
27 Form XXIV Rule 82(1)
officer
close of half year
Registering Officer of the
Annual Return Of Principal Employer to be sent to Before 15th February following the area in which the
28 Form XXV Rule 82(2)
the Registering Officer end of the year to which it relates establishment sought to be
registered is located
 Remarks Checked on

Application to be
accompanied by a DD
showing payment of fees for
registration; application shall
be personally delivered or sent
by registered post
pal Employer

ing particulars of establishments in relation to

ation have been issued
nce to the licensing officer of the area in which
ractor, is located

Principal Employer to the contractor

nsing Officer

tor

To be submitted by the
contractor

To be submitted by the
Principal Employer

or within 30 days before the date on which

Application to be
accompanied by a DD
showing payment of fees for
registration; application shall
be personally delivered or sent
by registered post
pal Employer

nce to the licensing officer of the area in which

ractor, is located
tor

h registered establishment where he employs

n 3 days of employment of worker

e services have been terminated for any reason

h work on which he engages contract labour

h work on which he engages contract labour

h work on which he engages contract labour

st a day prior to the disbursement of

more
h work on which he engages contract labour

h work on which he engages contract labour

h work on which he engages contract labour

n the number of hours, and wages paid for,

sing officer not later than 30 days from the

CHILD LABOUR (PROHIBITION & REGULATION) ACT, 1986

Type & Nature of

S.No. Description of the Form
Document

To be maintained by every occupier of an

1 Form A establishment in respect of children
employed or permitted to work

2 Form B Certificate of Age

CT, 1986

Schedule of Submission /
Relevant Clause Submitting Authority
Maintenance

Rule 16(1) Yearly ..

Rule 17(2) As & when felt necessary Inspector

 Remarks Checked on

Shall be retained by the employer for a period of

three years

All young persons in employment in any of the

occupations set forth in Part A or processes set
forth in Part B of schedule to produce a
certificate of age from the appropriate medical
authority.
 Type & Nature of
S.No. Description of the Form
Document

Form of application for the reference of an industrial dispute to

1 Form A a board of conciliation/court of enquiry/labour court/national
tribunal

2 Form B Notice to represent persons on board

3 Form C Agreement

4 Form D Summons

Notice of change of service conditions proposed by an

5 Form E
employer

6 Form F Form Of Authority

7 Form G Form Of Nomination Paper

Progress Report on Constitution and functioning of Works

8 Form G-1
Committee for the half year ending 30th June/31st December

9 Form H Form for memorandum of settlement

10 Form I Complaint under Section 33-A of the act

11 Form J Application for permission

12 Form K Application for permission under Section 33

13 Form K-1 Application for recovery of dues

Application by a person authorised by a workman or heir of

14 Form K-2
deceased workman for recovery of dues
15 Form K-3 Application to the labour court to receive entitlements

Application to the labour court by a person authorised by a

16 Form K-4
workman or heir of deceased workman to receive entitlements

Form of notice of strike to be given by Union/Workmen in a

17 Form L
Public Utility Service

Form Of Notice of Lock Out to be given by an employer

18 Form M
carrying on a Public Utility Service

Form of Report of Strike or Lock Out in a Public Utility

19 Form N
Service

20 Form O Register Of Settlements

21 Form O-1 Notice of comemncement of lay-off

22 Form O-2 Notice Of Termination of lay off

Form of application for permission to lay off, to continue the

23 Form O-3 lay off of workmen in Industrial establishments to which
provisions of Chapter V-B of the act applies

Form of Notice of Retrenchment to be given by an employer

24 Form P
under clause © of section 25(F) of this act

Form of Notice of Retrenchment to be given by an employer

25 Form P-A
under clause (d) of section 25(N) of this act

Form of notice of closure to be given by an employer under

26 Form Q
Section 25-FFA of The Industrial Disputes Act, 1947

Form of notice of closure to be given by an employer under

27 Form Q-A
Section 25-O(1) of The Industrial Disputes Act, 1947
 Schedule of Submission /
Relevant Clause
Maintenance

As & when a dispute is sought to be

Rule 3
referred

To be issued by the Labour Secretary to the parties requiring them to nominate a

Rule 6
certain no. of persons to represent them on board
As & when a dispute ought to be
Rule 7
referred for arbitration
To be issued by a board/court/labour court/tribunal/national tribunal which
Rule 17 requires the parties to produce any books, documents for purposes of
investigation

As & when a change ought to be

Rule 34
effected

Rule 36 To be sent to the concerned authority giving the names of representatives

To be delivered to the employer nominating a candidate for election to the

Rule 47
works' committee, duly signed by the proposer and the candidate
Not later than 20th day of the month
Rule 56-A
following the half year
To be sent to Labour Secretary, GOI / Chief Labour Commissioner / RLC(C) /
Rule 58
ALC( C) duly signed by the parties to the proceedings.
Every complaint to be verified and to be presented in triplicate and to be
accompanied by as many copies as there are opposite parties to the complaint.
Rule 59
The complaint ought to be presented before the labour court/tribunal/National
Tribunal
To be made by the employer seeking express permission in writing of the
Rule 60(1)
Conciliation officer/board/labour court/tribunal/national tribunal
To be made by the employer seeking express permission in writing of the
Rule 60(2) Conciliation officer/board/labour court/tribunal/national tribunal for any action
taken under Section 33-2(a) or (b)
To be made by the workman or group of workmen to the Labour Secretary/
Rule 62(1) RLC when any money is due from an employer to a workman or group of
workmen
To be made by a person authorised in writing by the workman or in the case of
Rule 62(1) death of workman, the assignee or heir of the deceased workman to the Labour
Secretary/ RLC when any money is due from an employer to a workman or
group of workmen
 To be made by a workman or group of workmen to the labour court to receive
Rule 62(2)
entitlements due from an employer
To be made by the assignee or heir of the deceased workman to the labour court
Rule 62(2)
to receive entitlements due from an employer
To be made by Union/Workmen to the employer, with copy to ALC (C ) / RLC
Rule 71
(C) / CLC(C)
To be made by the Employer with a copy to The Secretary of the Registered
Rule 72
Union / ALC(C) / RLC(C) / CLC(C)
Information in this form to be submitted immediately on the occurrence of
Rule 73 strike or lock out in a public utility service to the ALC(C ) for the local area
concerned
To be filed by the conciliation officer in respect of settlements effected under
Rule 75
this act in respect of areas within his jurisdiction
within 7 days of commencement of
Rule 75-A
lay off

Rule 75-A within 7 days of termination of lay off

To be sent to the concerned authority and sent through registered post

Rule 75-B(1)
acknowledgement due
To be given within 3 days from the
Rule 76 date on which notice is served to the
workman
To be served by the employer to the central govt. or such authority as specified
Rule 76-A(1)
under the act
To be sent by the employer to the Labour Secretary(GoI) / RLC(C) / ALC(C) /
Rule 76-B
Local Employment Exchange
To be served by the employer to the Labour Secretary(GoI) with a copy to the
Rule 76-C(1)
Registered Trade Union of the establishment
 Submitting Authority Remarks Checked on

Labour Secretary, GOI/Chief Labour

Commissioner/RLC( C)/ALC( C)

Secretary to the parties requiring them to nominate a

of persons to represent them on board
Labour Secretary, GOI/Chief Labour
Commissioner/RLC( C)/ALC( C)
urt/labour court/tribunal/national tribunal which
uce any books, documents for purposes of

Labour Secretary, GOI / Chief Labour

Commissioner / RLC(C) / ALC(C) /
Secretary of registered trade union
authority giving the names of representatives

oyer nominating a candidate for election to the

ned by the proposer and the candidate

ALC( C)

ary, GOI / Chief Labour Commissioner / RLC(C) /

e parties to the proceedings.
ied and to be presented in triplicate and to be
opies as there are opposite parties to the complaint.
presented before the labour court/tribunal/National

er seeking express permission in writing of the

abour court/tribunal/national tribunal
er seeking express permission in writing of the
abour court/tribunal/national tribunal for any action
) or (b)
n or group of workmen to the Labour Secretary/
ue from an employer to a workman or group of

horised in writing by the workman or in the case of

gnee or heir of the deceased workman to the Labour
money is due from an employer to a workman or
or group of workmen to the labour court to receive
mployer
or heir of the deceased workman to the labour court

from an employer
kmen to the employer, with copy to ALC (C ) / RLC

er with a copy to The Secretary of the Registered

/ CLC(C)
be submitted immediately on the occurrence of
c utility service to the ALC(C ) for the local area
on officer in respect of settlements effected under
within his jurisdiction
RLC( C) with a copy forwarded to ALC(
C)
RLC( C) with a copy forwarded to ALC(
C)
authority and sent through registered post

Central Government/ RLC(C) / ALC (C)

/ concerned employmeny exchange

yer to the central govt. or such authority as specified

to the Labour Secretary(GoI) / RLC(C) / ALC(C) /

ge
yer to the Labour Secretary(GoI) with a copy to the

the establishment
THE APPRENTICES ACT , 1961 & APPRENTICESHIP RULES, 1991
S.No. Type & Nature of Document
1 Form Apprenticeship- 1
2 Form Apprenticeship- 1-A
3 Form Apprenticeship- 2
4 Form Apprenticeship- 3
5 Form Apprenticeship- 4
6 Form Apprenticeship- 5
7 Form Apprenticeship- 6
Description of the Form
Form giving personal details of Apprentices
Form Giving Record of Practical Training & Related
Instructions
Report in respect of Trade apprentices receiving training
in the establishment
Form giving particulars of trade apprentices who satisfy
the minimum conditions of eligibility to appear in the
trade test in March or September
Half Yearly return of Apprentices Engaged
Form submitted on engagement of an apprentice
Record Of Progress of Apprentices engaged in an
establishment
1

Relevant Schedule of Submission /

Submitting Authority
Clause Maintenance
Within 15 days of the date of
Regional Director/ State Apprenticeship
Rule 14 registration of contract of
advisor
apprenticeship
Regional Director/ State Apprenticeship
Rule 14 At the end of every half year
advisor

Regional Director/ State Apprenticeship

Rule 14 At the end of every half year
advisor

Regional Director/ State Apprenticeship

Rule 14 In the month of November & May
advisor

Regional Director/ State Apprenticeship

advisor & The Principal, ITI where Basic
Rule 14 At the end of every half year
Trg./ Related Instructions is proposed to be
imparted to the Apprentice

within 10 days of engagement of an Central Apprenticeship Advisor/ Director,

Rule 14
apprentice Regional Board Of Apprenticeship Training

Director, Regional Board Of Apprentiship

Rule 14 Quarterly
Training
 Remarks Checked on

To be prepared in
duplicate

This is kept inside Form 1

Applicable only to
Graduate or Technician or
vocational apprentices
 Type & Nature of
S.No. Description of the Form
Document

Quarterly return to be submited to the local employment

1 Form ER- 1
exchange

Occupational Return to be submitted to the local employment

2 Form ER- 2
exchange

Requisition form to be used when calling for applicants from

3 Requisition form
Employment Exchanges
 Schedule of Submission /
Relevant Clause Submitting Authority
Maintenance
Within 30 days of the due dates i.e.
Local Employment
Rule 6 31st March, 30th June, 30th
Exchange
September & 31st December
Local Employment
Rule 6 Biennial (within 30 days of due date)
Exchange
Central /local Employment
Rule 4 As & when vacancies arise Exchange depending on the
nature of vacancies
Remarks Checked on
 Type & Nature of
S.No. Description of the Form
Document

Application for permission to construct, extend

1 Form 1
or take into use any building as a factory
Application for registration and grant or
2 Form 2
renewal of licence

3 Form 3 Notice of Change of Manager

4 Form 4 Licence to work a factory

5 Form 5 Certificate Of Fitness

6 Form 6 Humidity Regsiter

7 Form 7 Record of Lime Washings, Paintings etc.

8 Form 8 Report of examination of pressure vessel

9 Form 9 Register Of Compensatory Holidays

10 Form 10 Overtime Muster Roll for exempted workers

11 Form 10-A Overtime Slip

12 Form 11 Notice Of Periods Of Work for Adult Workers

13 Form 12 Register Of Adult Workers

14 Form 12-A Identity Card Of Workers

15 Form 13 Notice of Periods of work for child workers

16 Form 14 Register Of Child Workers

17 Form 15 Register Of Leave with wages

18 Form 16 Health Register

19 Form 17-A Notice Of Accident or dangerous occurrence

20 Form 18 Notice Of Poisoning or disease

21 Form 19 Abstract of the Act

22 Form 20 Annual Return

23 Form 21 Half Yearly Return

24 Form 22 Muster Roll

25 Form 23 Register Of Accidents

26 Form 24 Special Certificate Of Fitness

27 Form 25 Certificate Of Fitness for dangerous operations

Register Of Surgeon's fees for the issue of

28 Form 26
duplicate certificate

29 Form 27 Certifying Surgeon's visit Note

30 Form 28 Diary Of Inspector Of Factories

31 Form 29 Closure Report Of a Factory

32 Form 30 Register of Water Sealed Gas Holder

Report of examination of water sealed gas

33 Form 31
holders
 Register of trained adult male workers
34 Form 32 employed to carry out mounting or shifting or
belts, lubrications etc.
Certificate to young persons considered fit to
35 Form 33 work at machine, plant or process of dangerous
character

36 Form 34 Form Of Certificate Of Stability

37 Form 35 Record Of Eye Examination

 Schedule of Submission /
Relevant Clause Submitting Authority
Maintenance

To be submitted to the Chief Inspector Of Factories, duly signed by the Occupier Of the factory before
commencing the manufacturing process
To be submitted by the Occupier/Manager to the Inspector Of Factories of the area concerned not later than the
date on which the license expires
To be made by the occupier and submitted to the Chief Inspector Of Factories with
Rule 12-A
the signature of the new manager and occupier appended
To be granted by the Inspector Of Factories after verifying the correctness of the
Rule 5 application. This licence shall remain valid upto 31st december of the year for which
it is granted
To be granted by the certifying surgeon to the young persons employed in a factory
Rule 14-2(a)

Temperatures recorded in a Hygrometer to be entered in this register.

Rule 24

To be maintained with the dates on which white washing, colour washing,

Rule 15
varnishing etc. are carried out.

To be maintained by the manager in respect of compensatory holidays

Rule 77(4)

To be maintained by the manager of every factory in which workers are exempted

Rule 78
under Sections 64 or 65

Rule 79 To be exhibited by the Manager of every factory

To be maintained in every factory

Rule 80

To be issued to every worker with the signature of occupier/manager of the factory

Rule 80-A

Rule 85 To be exhibited by the Manager of every factory

To be maintained in respect of child workers employed

Rule 86

To be maintained by the manager of every factory

Rule 87
Section 87 To be maintained by the manager in respect of dangerous operations

Within 12 hours of occurrence of an Factory Inspector;

Rule 96 SDO;Officer-In-Charge of
accident the nearest police station
To be sent by the manager of the factory as soons as any worker contacts any disease
Rule 97 specified in the schedule to the Chief Inspector/ Inspector/Medical
Inspector/Certifying Surgeon
To be displayed in every factory
Rule 99

To be furnished by the Manager to the Chief Inspector before 15th January of the
Rule 100(1)
year subsequent to which it relates
To be furnished by the Manager to the Chief Inspector before 15th July of each year
Rule 100(2)

To be maintained by the manager of every factory in respect of workers employed in

Rule 103
the factory
To be maintained in every factory furnishing complete details in respect of every
Rule 104
accident which may occur
To be granted by the certifying surgeon in respect of persons employed in operations involving use of lead
compounds
To be granted by the certifying surgeon in respect of persons employed in dangerous
Rule 96
operations
To be maintained by the certifying surgeon or examining surgeon in respect of fees
Rule 14
paid for issue of a duplicate certificate
To be handed over by the certifying surgeon or examining surgeon to the Manager
Rule 14 (9)
detailing the result of each visit to the factory

To be maintained by the manager in respect of examination reports of the gas

Rule 57-A
holders carried out by the person qualified to carry out the test
To be submitted by the person carrying out the examination in the form of a report to
Rule 57-A
the manager or the occupier.
 To be maintained in every factory carrying therein the name of every worker who
Rule 59-A
may be employed in performing work specified in section 21

To be maintained by the manager, containing therein the certifcates issued to young

Rule 59-B(2)
persons.
To be sent by the manager or occupier of the factory to the chief Inspector in respect
Rule 3-A
of the manufacturing process carried out.
To be sent by the manager/ occupier within 15 days from the date of examination.
Rule 59-C(4)
 Remarks Checked on

r Of the factory before

cerned not later than the

nspector Of Factories with

d
ng the correctness of the
cember of the year for which

sons employed in a factory

this register.

g, colour washing,

atory holidays

ich workers are exempted

pier/manager of the factory

s operations

worker contacts any disease

or/Medical

efore 15th January of the

efore 15th July of each year

pect of workers employed in

etails in respect of every

nvolving use of lead

sons employed in dangerous

g surgeon in respect of fees

ng surgeon to the Manager

ion reports of the gas

he test
ion in the form of a report to
 name of every worker who
fied in section 21

certifcates issued to young

he chief Inspector in respect

m the date of examination.

 Type & Nature of
S.No. Description of the Form
Document

1 Form A Form Of Individual Application

2 Form B Form Of Group application

Form of application by an inspector or person

3 Form C
permitted by the authority or authorised to act

4 Form D Certificate Of Authorisation

5 Form E Notice for disposal of application

6 Form F Record of order or direction

Notice to respondent of the day fixed for the

7 Form G
hearing of appeal under section 17 of the act
 Submitting
Relevant Clause Schedule of Submission / Maintenance
Authority

Within 12 months from the the date on

which deductions were made or the date on Inspector Of
Section 15(2)
which payment was due, as the case may Factories
be.
Within 12 months from the the date on
which deductions were made or the date on Inspector Of
Section 15(2)
which payment was due, as the case may Factories
be.

Within 12 months from the the date on

which deductions were made or the date on Inspector Of
Section 15(2) & Section 16
which payment was due, as the case may Factories
be.

Within 12 months from the the date on

which deductions were made or the date on Inspector Of
Section 15(2)
which payment was due, as the case may Factories
be.

When an application is entertained under section 15(2), the authority shall hear
the applicant & the employer and direct the employer for refund of deductions
Section 15(3)
made or payment of delayed wages or make no directions if the application is
found to be malafid
Record of order of direction to be made by the authority under the act
Section 15(3)

Within 30 days of the date on which order or direction was

made, an appeal could be made by the employer/ employee or
Section 17 his legal practitioner and the judge of the district court to issue
the notice to the respondent of the day fixed for hearing of
appeal.
 Remarks Checked on

2), the authority shall hear

r for refund of deductions
ctions if the application is

ty under the act

 Type & Nature of
S.No Description of the Form
Document

1 Form I Declaration Form

2 Form I-A Family Declaration Form

3 Form I-B Changes in family declaration form

4 Form 3 Return of declaration forms

5 Form 4 Identity Card

6 Form 4-A Family Identity Card

7 Form 6 ESIC-Return of Contributions

8 Form 7 Register Of Employees

9 Form 8 First Certificate

10 Form 9 Final Certificate

11 Form 10 Intermediate Certificate

12 Form 11 Special Intermediate Certificate

13 Form 12 Sickness or Temporary Disablement Benefit

14 Form 12-A Maternity Benefit for sickness

Sickness or Temporary Disablement Benefit or Maternity

15 Form 13
Benefit for sickness

16 Form 13-A Maternity Benefit for sickness

Sickness or Temporary Disablement Benefit or Maternity

17 Form 14
Benefit for sickness

18 Form 14-A Maternity Benefit for sickness

19 Form 15 Accident Book

20 Form 16 Accident Report from Employer

21 Form 17 Dependant's benefit - Death Certificate

22 Form 18 Dependant's benefit - Claim Form

Dependant's Benefit - Claim Form for periodical

23 Form 18-A
Payments

24 Form 19 Maternity Benefit - Notice of Pregnancy

25 Form 20 Maternity Benefit - Certificate of Pregnancy

26 Form 21 Maternity Benefit - Certificate of Expected Confinement

27 Form 22 Maternity Benefit - Claim Form

Maternity Benefit - Certificate of Confinement or

28 Form 23
Miscarriage

29 Form 24 Maternity Benefit - Notice Of Work

Maternity Benefit after the death of an insured woman

30 Form 24-A & 24-B leaving behind the child / Maternity Benefit- Death
Certificate

31 Form 25 Claim for Permanent Disablement Benefit

32 Form 25-A Funeral Expenses Claim Form

33 Form 26 Certificate for permanent disablement benefit

34 Form 27 Declaration & Certificate for Dependant's Benefit

35 Form 28 Abstention Verification

36 Form 28-A Abstention Verification

 Schedule of Submission /
Relevant Clause
Maintenance

To be filled in by the employee with his signature or thumb impression and submit it
Regulation 11 & 12
to the employer
To be filled in by the employee and submitted back to the employer , who shall
Regulation 15-A forward the same to the appropriate office within 10 days from the date of
submission by the employee
To be submitted by the insured person to the employer within 15 days of such
Regulation 15-B changes occurring and the employer in turn would forward the same to the
appropriate office within 10 days of receipt.
To be sent by the employer to the appropriate office within 10 days of receipt of the
Regulation 14
filled up forms
To be issued by the appropriate office in respect of all insured employees, and send
Regulation 17 the same to the employer, who shall issue the same to the concerned employee after
obtaining the signature in the card
To be arranged by the appropriate office and necessary family particulars added in
Regulation 95-A
Form 4
To be sent by the employer in quadruplicatealongwith receipt copies of challans to
the appropriate office within 42 days of termination of related contribution period;
Regulation 26
within 21 days of permanent closure of the factory; within 7 days of the date of
receip
To be maintained by the employer in respect of every employee of his factory or
Regulation 32
establishment
This medical certificate is to be issued by the insurance medical officer during the
Regulation 57 & 89-B
first examination in respect of a spell of sickness or a spell of temporary disablement
To be issued by the insurance meddical officer, when he feels that not later than 3
Regulation 58 & 89-B days of the date of examination(other than a first certificate) the insured employee
would be fit to resume duties
To be submitted by the insured person within 7 days (commencing from the date of
Regulation 59 & 89-B first certificate) in cases wherein the final certificate is not issued within 7 days of
issue of first certificate
To be furnished by the insured person in cases wherein the insurance medical
Regulation 61 & 89-B officer feels that temporary disablement has continued for not less than 28 days and
such disablement is likely to continue for a longer period
 To be submitted by the insured person desirous of claiming sickness or temporary
Regulation 63 disablement benefit to the appropriate local office by post or otherwise alongwith
appropriate medical certificates
To be submitted by every insured woman claiming maternity benefit in case of
Regulation 89-B sickness arising out of pregnancy, confinement, premature birth of child or
miscarriage to the local appropriate office by post or otherwise
To be submitted by the insured person or insured woman desirous of claiming
Regulation 63 & 89-B sickness or temporary disablement benefit to the appropriate local office by post or
otherwise alongwith appropriate medical certificates
To be submitted by every insured woman claiming maternity benefit in case of
Regulation 89-B sickness arising out of pregnancy, confinement, premature birth of child or
miscarriage to the local appropriate office by post or otherwise
To be submitted by the insured person or insured woman desirous of claiming
Regulation 63 sickness or temporary disablement benefit to the appropriate local office by post or
otherwise alongwith appropriate medical certificates
To be submitted by every insured woman claiming maternity benefit in case of
Regulation 89-B sickness arising out of pregnancy, confinement, premature birth of child or
miscarriage to the local appropriate office by post or otherwise
To be maintained by the employer in which appropriate particulars of any accident
Regulation 66 causing personal injury to an insured person may be entered and preserved every
such book for a period of five years.
To be furnished by the employer to the nearest local office and to the nearest
Regulation 68
insurance medical officer immediately if the injury is serious
To be issued free of charge by the Insurance Medical Officer attending the disabled
Regulations 79 & 95-C
person at the time of his death
To be submitted by the dependant or dependants concerned or by the legal
Regulation 80 representative of the insured member with all supporting documents to the
appropriate local office by post or otherwise
To be submitted by the dependant whose claim for dependant's benefit is admitted,
Regulation 83-A
to the local appropriate office except in the case of first and final payments
To be submitted by an insured woman before confinement to the local appropriate
Regulation - 87
office
To be submitted by an insured woman before confinement to the local appropriate
Regulation - 87
office
To be submitted by every insured woman claiming maternity benefit before
Regulation - 88
confinement not earlier than 15 days before the expected date of confinement
 To be submitted by every insured woman to the local appropriate officestating
therein the date on which she ceases to work for remuneration and if the insured
Regulation 88 & 89
woman is claiming maternity benefit for miscarriage the claim form ought to be
submitted within
To be submitted by every insured womanwothin 30 days of the date on which her
Regulation 88 & 89
confinement takes place to the local appropriate office
To be furnished by an insured woman who has claimed maternity benefit, if she
Regulation 91 does work for remuneration on any day during the period for which maternity
benefit would be payable to her.
To be submitted by the nominee or legal representative of the insured woman to the
Regulation 89-A local appropriate office, a claim for maternity benefit within 30 days of the death of
the insured woman, together with a death certificate in 24-B
To be submitted by an insured person declared as permanently disabled by a
Regulation 76-A
Medical Board to the local appropriate office by post or otherwise
To be submitted by the claimant entitled, to the local appropriate office and in case
Regulation 95-E of a minor, by his guardian and the form ought to be submitted with all supporting
documents
To be submitted by every person whose claim for permanent disablement has been
Regulation 107 admitted at six monthly intervals, a certificate attested by such authority as may be
specified by the director general
To be submitted by every person whose claim for dependant's benefit has been
Regulation 107-A admitted at six monthly intervals , duly attested by such authority as may be
specified by the director general.
To be furnished by every employer to the appropriate office, such particulars &
information in respect of abstention of an insured person from work for which
Regulation 52-A
sickness benefit or disablement benefit for temporary disablement have been
claimed or paid
To be furnished by every employer to the appropriate office, such particulars &
Regulation 52-A information in respect of abstention of an insured woman from work for which
maternity benefit hass been claimed or paid
 Submitting Authority Remarks Checked on

oyee with his signature or thumb impression and submit it

oyee and submitted back to the employer , who shall

propriate office within 10 days from the date of
e
ured person to the employer within 15 days of such
employer in turn would forward the same to the
0 days of receipt.
to the appropriate office within 10 days of receipt of the

riate office in respect of all insured employees, and send

who shall issue the same to the concerned employee after
he card
opriate office and necessary family particulars added in

in quadruplicatealongwith receipt copies of challans to

n 42 days of termination of related contribution period;
nt closure of the factory; within 7 days of the date of

mployer in respect of every employee of his factory or

o be issued by the insurance medical officer during the

of a spell of sickness or a spell of temporary disablement

ce meddical officer, when he feels that not later than 3
tion(other than a first certificate) the insured employee
es
ured person within 7 days (commencing from the date of
erein the final certificate is not issued within 7 days of

ured person in cases wherein the insurance medical

disablement has continued for not less than 28 days and
o continue for a longer period
ured person desirous of claiming sickness or temporary
ppropriate local office by post or otherwise alongwith
ates
nsured woman claiming maternity benefit in case of
nancy, confinement, premature birth of child or
ropriate office by post or otherwise
ured person or insured woman desirous of claiming
blement benefit to the appropriate local office by post or
priate medical certificates
nsured woman claiming maternity benefit in case of
nancy, confinement, premature birth of child or
ropriate office by post or otherwise
ured person or insured woman desirous of claiming
blement benefit to the appropriate local office by post or
priate medical certificates
nsured woman claiming maternity benefit in case of
nancy, confinement, premature birth of child or
ropriate office by post or otherwise
mployer in which appropriate particulars of any accident
n insured person may be entered and preserved every
ve years.
loyer to the nearest local office and to the nearest
mmediately if the injury is serious
by the Insurance Medical Officer attending the disabled
ath
endant or dependants concerned or by the legal
d member with all supporting documents to the
post or otherwise
endant whose claim for dependant's benefit is admitted,

ce except in the case of first and final payments

red woman before confinement to the local appropriate

red woman before confinement to the local appropriate

nsured woman claiming maternity benefit before

n 15 days before the expected date of confinement

nsured woman to the local appropriate officestating
he ceases to work for remuneration and if the insured
ty benefit for miscarriage the claim form ought to be

nsured womanwothin 30 days of the date on which her

the local appropriate office
ed woman who has claimed maternity benefit, if she
n on any day during the period for which maternity
o her.
minee or legal representative of the insured woman to the
laim for maternity benefit within 30 days of the death of
r with a death certificate in 24-B
red person declared as permanently disabled by a

appropriate office by post or otherwise

mant entitled, to the local appropriate office and in case
and the form ought to be submitted with all supporting

erson whose claim for permanent disablement has been

ervals, a certificate attested by such authority as may be
neral
erson whose claim for dependant's benefit has been
ervals , duly attested by such authority as may be
neral.
mployer to the appropriate office, such particulars &
bstention of an insured person from work for which
ment benefit for temporary disablement have been

mployer to the appropriate office, such particulars &

bstention of an insured woman from work for which
claimed or paid
 S.No. Type & Nature of Document Description of the Form

Declaration & Form of nomination for EPF /

1 Form 2 Pension/ IF to be filled in by the eligible
employee

2 Form 3A/ Form 7 (PS) Members' Annual Contribution Cards

Consolidated return of employees entitled to

3 Form 9/Form 3(PS)/ Form 1(IF)
4 Form 5 / Form 4(PS) / Form 2 (IF)
5 Form 10 / Form 5(PS)
become members of the funds on the date of
application of the scheme
Return of employees qualifying for membership
under PF, Pension & Insurance Fund for the first
time during the month
Return of employees leaving the service of the
employer during the month

6 Form 5-A Return of ownership in duplicate

Form 12-A / Form 6 (PS) / Form 4

7 Consolidated Statement Of Dues and Remittance
(IF)

8 Form 6-A/ Form 8 (PS) Consolidated Annual Contribution statement

Form concerning transfer of previous

9 Form 13
accumulation dues from existing PF

Details of past employment / membership of

10 Form 11
employee
Remittance of PF contribution, Pension fund,
Challan (there is one consolidated
11 Administration & Inspection Charges, EDLI & its
challan of accounts 1,2,10,21 & 22)
admin. Charges

Form to be used by a member of EPS 1995 for

12 Form- 10 C
claiming withdrawal benefit / Scheme Certificate

Form to be used for claiming superannuation

pension, Retirement pension, Short Service
13 Form- 10 D
Pension, Disablement pension, Widow Pension,
Children Pension, Orphan Pension

Claim form to be used by a major member of the

14 Form- 19
EPF scheme
 Claim form to be used by a nominee/ or a legal
15 Form- 20 heir in case of death of a member of the EPF
scheme
 Schedule of Submission / Submitting
Relevant Clause
Maintenance Authority

33(EPF);18(EPS); 10 As & when a new entrant joins the

Concerned RPFC
(EDLI) scheme

35,42,43,44(EPF); By 30th April every year for the year

Concerned RPFC
19(EPS) ending 31st March

36(EPF); 20(EPS); within 15 days of the commencement

Concerned RPFC
10(EDLI) of the scheme

36(EPF); 20(EPS);
within 15 days of the close of month Concerned RPFC
10(EDLI)

36(EPF) ; 20(EPS) within 15 days of the close of month Concerned RPFC

Immediately on coverage & within 15

36A(EPF); 21(EPS);
days of making any change in the Concerned RPFC
1(EDLI)
establishment
38(EPF) ; 20(EPS) ; within 20 days of the close of the
Concerned RPFC
10(EDLI) month
By 30th April every year for the year
43(EPF) ; 20(EPS) Concerned RPFC
ending 31st March

28(EPF) As and when required Concerned RPFC

As and when required Concerned RPFC

within 15 days of the close of month Concerned RPFC

As and when required Concerned RPFC

As and when required Concerned RPFC

As and when required Concerned RPFC

As and when required Concerned RPFC
Remarks Checked on
 Type & Nature of
S.No. Description of the Form
Document

1 Form A Register showing the computation of allocable surplus

2 Form B Register showing the set on & set off of the allocable surplus
Register showing the details of amount of bonus due to each
3 Form C of the employees, the deductions under section 17 & 18 and
the amount actually disbursed

Annual Return stating the amount of bonus paid to employees

4 Form D
for the accounting year ending on 31st March
 Schedule of Submission/
Relevant Clause Submitting Authority
Maintenance

Rule 4(a) To be maintained by the employer ---

Rule 4(b) To be maintained by the employer ---

Rule 4( c ) To be maintained by the employer ---

Within 30 days after the expiry of

Rule 5 time limit specified for payment of Inspector
bonus
 Remarks Checked on

Time limit for the said purpose is

within a period of eight months from
the close of accounting year
MINI
MUM
WAGE
S ACT,
1948 &
BIHAR
MINI
MUM
WAGE Type & Nature of
S S.No. Document
Description of the Form
RULES
1 Form I Rule 21(4)

2 Form II Rule 21(4)

3 Form III Rule 21(4-A)

4 Form IV Rule 25(2)

5 Form V Rule 26(5)

6 Form VI Section 20(2)

7 Form VI- A Section 21(1)

8 Form VII Section 20(2)

9 Form VIII Section 20(2)

10 Form IX Section 20(3)

11 Form IX-A Rule 22

12 Form X Rule 26(1)

13 Form XI Rule 26(2)

 Schedule of Submission /
Relevant Clause
Maintenance

Register Of Fines Ought to be up to date

Register of deductions for damage or loss caused to the

employer, by the neglect or default of the employed Ought to be up to date
persons

Annual Return By 1st February each year

Register Of Overtime Ought to be up to date

Muster Roll Ought to be up to date

Form Of Application by an employee regarding any claim preferred by the employee/ inspector/official of registered
trade union/legal practitioner may apply
Form for a single application in respect of any number of employees employed in scheduled employment.

To be presented within 6 months from

Form of application by an Inspector or person acting with
the date of payment of minimum
the permission of authority
wages
To be presented within 6 months from
Form in authority in favour of a legal practitioner/official
the date of payment of minimum
of a registered trade union
wages
Form Of Summons to the opponent to appaear before the When an application under section 20 is entertained , the
authority applicant & the employer.
Abstracts of the Minimum Wages Act, 1948 & the Bihar To be displayed at the factory
Minimum wages Rules, 1951 premises
Ought to be up to date for every wage
Register Of Wages
period

Wage Slip Ought to be issued every wage period

 Submitting
Remarks Checked on
Authority

inspector/official of registered

duled employment.

Authority
appointed under the
act.
Authority
appointed under the
act.
r section 20 is entertained , the authority shall hear the
applicant & the employer.