Esic Form 22 Funeral Expenses Claim Amount, Reg. . This form i

Esic Form 22 Funeral Expenses Claim Amount, Reg. . This form is designed for the dependent family The family members need to claim ESI funeral expenses within 6 months from the date of the death of the insured person by filing Form 22 with the ESIC Ofice The dependent of the deceased is required to fill out Form No. 22 Claim arising out of death on _____________of __________________ s/w/d of _______________ ESIC Form 22 is a form used to claim funeral benefits under the Employees' State Insurance Corporation (ESIC) scheme in India, which provides financial The family members need to claim ESI funeral expenses within 6 months from the date of the death of the insured person by filing Form 22 with Reg. 11. , aged . This document is a form for claiming Note Note :: In In the the case case of of a a minor, minor, the the guardian guardian should should sign sign the the claim claim form form on on bahalf bahalf of of the the minor minor and and then then Employees' State Insurance Corporation Funeral Expenses are re-imbursements in lump sum in the event of death of an I. 13. 2020 for functioning of redressal of Public Grievance received through various Explore detailed insights on PF & ESIC benefits in a death case, including claim procedures, required forms, and essential documents for Explore detailed insights on PF & ESIC benefits in a death case, including claim procedures, required forms, and essential documents for The ESIC funeral expenses form is a document used to claim reimbursement for funeral expenses incurred due to the death of an employee covered under the Address: - ESI Corporation, Panchdeep Bhawan, CIG Road, New Delhi-110002 Website: - www. CLAIM FORMS FORM NO.

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