Form 23 - Life Certificate for Permanent Disablement Benefit

To claim permanent disablement claim, along with the claims during June and December, the insured person has to submit this certificate also.

This Certificate is to be given by any of the following:

  1. an officer of the Revenue, Judicial, or Magisterial Department
  2. a Municipal Commissioner
  3. a Workmen’s Compensation Commissioner
  4. the Head of Gram Panchayat under the official seal of Panchayat
  5. an M.L.A./M.P.
  6. a Gazetted Officer of the Central/State Govt.
  7. a member of the Regional Board/Local Committee of the ESIC
  8. any other authority considered appropriate by the Branch Manager concerned

References

Type:

Form

e-Filing:

Dates:

Jun and Dec
Type : Form
e-Filing :
Dates : Jun and Dec

100% statutory compliance

All statutory deductions for PF, ESI, Professional tax, IT, etc., are automatically updated by our payroll system as per the latest laws and amendments.

100% statutory compliance

All statutory deductions for PF, ESI, Professional tax, IT, etc., are automatically updated by our payroll system as per the latest laws and amendments.