Employee State Insurance Corporation Scheme (ESI) Forms
Under the Employees’ State Insurance (ESI) scheme, one will need to fill and submit relevant forms available on the ESIC portal for making claims. Some of the forms include Form 72, Form 23, Form 24, Form 15, and so on.
The Employees’ State Insurance (ESI) scheme is a health insurance scheme designed with an intent to protect the interests of workers in times of medical emergencies like maternity, sickness, permanent or temporary physical disablement, employment related death or injury leading to a loss in earnings or the capacity to earn. It is a social security scheme which is self-financed where employers contribute 4.75% and the employees contribute 1.75% of their wages.
The ESI scheme operates under the guidelines of the ESI Act, 1948 and is managed by the Employees’ State Insurance Corporation which is an autonomous body under the Ministry of Labour and Employment. The ESI scheme is meant for workers earning equal to or less than Rs.21,000 a month. Under this scheme, the below benefits are provided:
- Medical benefit
- Maternity benefit
- Sickness benefit
- Pension benefit
- Dependent benefit
- Disablement benefit
- Funeral and confinement expenses
How to Register for the ESI scheme?
Establishments or firms that employ more than 10 people need to register under the ESI scheme. They can do so by logging into the ESIC portal – www.esic.in and submitting the requested information. On doing so, a code number comprising of 17 digits is generated and sent to the email ID of the employer along with a registration form and the ESIC login credentials. The employer can then login using the credentials and fill up the mandatory information. If there is any issue while registering, the employer can email the ESIC IT desk at itcare@esic.in.
What are ESI forms?
To make claims under the ESI scheme, the beneficiaries have to submit the relevant ESI forms after duly filling it. The form is available on the ESIC portal. Listed below are the details of the various ESI forms available:
Form 72 – This form is used to request for a duplicate ESIC smart card request.
Form 23 – This form is a life certificate form that is required to avail the permanent disablement benefit.
Form 24 – This form is a declaration and certificate for availing disablement benefit.
Form 22 – This form is used for making a claim for funeral expenses.
Form 20 – This form can be used for availing maternity benefits after the death of the insured person.
Form 19 – In order to claim maternity benefits and notice of work, this form has to be submitted.
Form 16 – For making claims for periodical payment of disablement benefit, this form can be used.
Form 15 – This is a form used for making claims for availing dependent benefits.
Form 14 – This is a claim form for permanent disability benefit.
Form 12 – This is an accident report form from the employer.
Form 11 – Accident book.
Form 9 – This form is used for making claims for sickness, temporary disablement benefit, and maternity benefit.
Form 6 – This a register of the employees.
Form 5A – If any beneficiary wishes to make an advance payment for his/her contribution, he/she can do so by submitting this form.
Form 5 – This form is used to return contributions made by the employee.
Form 3 – This is a form for return of declaration.
Form 2 – To make changes in the declaration form, form 2 is used.
Form 1 – This is a declaration form.
Form 01 – Employer’s registration form.
Form 1A – Family declaration form.
Form 142 – This form is used for making claims for compensation for loss of earnings and conveyance allowance.
Form 105 -Certificate of entitlement.
Form 86 – Certificate of employment.
Form 63 – Declaration form with regards to payment to the legal heir.
Form 53 – Application form for change in particulars of insured person.
Form 37 – Certificate of re-employment or continuous employment.
Form 32 – Wage-contributory record for disablement benefit.
All of the above-mentioned ESI forms are available to download from the ESIC portal and can be used for making claims under the Employees’ State Insurance scheme.
Need Information or Confused about Something ?
Ask a Question
Sponsored Guide
Complete Guide to NSFAS Online Loan Application for South African Students (2025)
If you are a South African student looking to pursue higher education but are facing financial difficulties, the National Student Financial Aid Scheme (NSFAS) is one of the most accessible funding options available. NSFAS provides financial aid in the form of bursaries and loans to qualifying students at public universities and TVET colleges in South Africa.
This guide will walk you through everything you need to know about the NSFAS loan application process, from eligibility requirements to application steps and frequently asked questions.
📌 What is NSFAS?
The National Student Financial Aid Scheme (NSFAS) is a government-funded financial aid scheme aimed at helping students from low- and middle-income households to access tertiary education without the burden of upfront fees.
NSFAS offers both bursaries and income-contingent loans:
- Bursaries: For eligible students who meet academic and household income criteria (especially for TVET and university students).
- Loans: For students who do not meet all bursary criteria or who are pursuing postgraduate qualifications not funded under bursary schemes.
✅ Who Qualifies for an NSFAS Loan?
To qualify for an NSFAS loan (especially for postgraduate students or programs not funded under the bursary system), you must:
- Be a South African citizen.
- Be financially needy, with a household income of less than R350,000 per year.
- Have a valid South African ID.
- Be enrolled or accepted to study at a public university or TVET college.
- Not be funded through another bursary program that covers all expenses.
- Maintain satisfactory academic progress (returning students).
📚 Courses Funded by NSFAS
NSFAS primarily funds undergraduate qualifications, but certain postgraduate programs (e.g., PGCE, postgraduate diplomas in education, and professional courses like LLB) may be considered under the NSFAS loan scheme, not bursaries.
If you’re studying:
- Undergraduate degree or diploma: You are likely eligible for a full NSFAS bursary.
- Postgraduate study: You may qualify for a loan, depending on the course and funding availability.
📄 Required Documents for NSFAS Application
When applying, make sure you have the following documents scanned and ready:
- Certified copy of your South African ID or Smart Card.
- Parent(s) or guardian(s) ID documents.
- Proof of income (latest payslips, UIF, or affidavit if unemployed).
- Consent Form signed by your parent(s)/guardian(s) to allow NSFAS to verify income.
- Proof of registration or acceptance at a public institution.
- Academic transcripts (for continuing or postgraduate students).
🖥️ How to Apply for an NSFAS Loan Online
Step-by-Step NSFAS Online Application Process (2025)
-
Visit the NSFAS Website
Go to: https://www.nsfas.org.za
-
Create an Account
- Click on “MyNSFAS” and register your profile.
- You’ll need a valid email address and South African cellphone number.
- Choose a strong password and verify your account via email or SMS.
-
Login and Start the Application
- After registration, log in to your MyNSFAS account.
- Click on “Apply” to begin a new application.
-
Fill in Your Personal Details
- Input your ID number, name, surname, and other details exactly as they appear on your ID.
- Provide household income information and living arrangements.
-
Upload Required Documents
- Upload all supporting documents in PDF or JPEG format.
- Each document must be clear and under the size limit specified.
-
Submit Your Application
- Review your application for accuracy.
- Click “Submit” and wait for a confirmation message.
-
Track Your Application
- Log in regularly to check your application status.
- You will be notified via SMS and email at each stage of the process.
🗓️ Important NSFAS Dates (2025)
- Application Opening Date: September 1, 2025
- Application Deadline: January 31, 2026
- Appeals Period: February 2026 (if rejected)
- Disbursement: After registration and approval
Note: Dates are subject to change; always confirm on the official NSFAS website.
💸 What Does the NSFAS Loan Cover?
NSFAS funding typically includes:
- Tuition fees
- Registration fees
- Accommodation (if living away from home)
- Meals and transport
- Learning materials (e.g., textbooks)
For loans, repayment is only required once you start working and earn above a threshold (around R30,000 annually, but subject to change).
🔄 NSFAS Loan Repayment
Repayments are:
- Income-contingent – you only repay when you can afford to.
- Administered by DHET (Department of Higher Education and Training).
- Interest-bearing, but interest rates are low and favorable.
You can also apply for a partial loan conversion to a bursary if you perform well academically.
🔁 How to Appeal a Rejected NSFAS Application
If your application is rejected, you may submit an appeal via your MyNSFAS portal:
- Log into your MyNSFAS account.
- Click on “Track Funding Progress”.
- If rejected, click on “Submit Appeal”.
- Upload any missing or corrected documents.
- Provide a clear explanation or motivation.
📱 NSFAS Contact Information
- Website: https://www.nsfas.org.za
- Email: info@nsfas.org.za
- Toll-Free Number: 08000 67327 (Monday–Friday, 8 AM–5 PM)
- Twitter: @myNSFAS
- Facebook: NSFAS
📝 Final Tips Before Applying
- Apply early to avoid system overload near the deadline.
- Use your own email and cellphone number (do not use someone else’s).
- Double-check that all your documents are certified and legible.
- Keep a copy of your submission confirmation for reference.
By following this guide, you can confidently apply for NSFAS funding and move one step closer to achieving your academic and career dreams—without the burden of immediate financial pressure.