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ESIC – Form 32

ESIC – Form 32

Users can find the ESIC form-32 wage/contributory record for disablement benefit provided by the Employee’s State Insurance Corporation, Ministry of Labour and Employment, Government of India. You must read the form carefully and fill up as per the instructions.

The following are the basic details to be filled: Name of the injured person, name of local office, date of entry, date of injury, name and address of the employer, department and address.

The wage/contributory record in respect of the above mentioned employee is as under :

  • If injury has occurred after commencement of first Benefit period of insured person.
  • If injury has occurred before commencement of the First Benefit Period but after expiry of First Wage Period in the contribution period in which injury occurred.
  • If injury has occurred before commencement of the First Benefit period and before expiry of the first wage period in the contribution period in which injury occurred.