How To Fill ESIC Accident Report Form 12 In Online.

Employee State Insurance scheme is one of the best social security and health insurance scheme for Indian employees whose monthly salary is less than 21000 Rs. There are so many employees are getting benefits under ESI scheme. Here we are going to learn about how to fill ESIC accident report form 12. We need to submit ESIC accident report to the ESIC office whenever there is an accident occurs inside or out side of an organization.

In past employers used to submit physical format of ESIC accident report form 12, now it became online. Now there is no need to visit ESIC office to submit ESI accident report form 12. Now employer can submit accident report form 12 in online through employer portal.Whenever there is a minor or major accident happens then file an accident report online. Here is complete guide on how to fill ESIC accident report form 12 in online.

↓ Download ESIC Accident Report Form 12

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How To Fill ESIC Accident Report Form 12

In order to file ESI accident report online login to ESIC employer portal with user id and password, there you will find an option called Accident Report (Form 12).

Sample Filled ESIC Accident Report Form 12

By clicking on this link you will get another page asking for IP number of employee and here we need to select whether it is new report or we are modifying existing report. If it is a new report then select new report in drop down menu, if you want to modify an existing accident report then choose modify option from drop down menu. After selecting all those details click on submit.

How To Fill ESIC Accident Report Form 12

Once we click on submit then we will get complete details of employee, here we need to enter occupation and department of employee, after entering those details click on next.

esic accident report form 12

Now we will find online ESIC accidental report form 12.

Online ESIC Accident Report Form 12

ESIC Accident Report Form 12

After entering all the details of accident click on submit. The important things which we have to mention on ESIC online accident format 12 is the date and time of accident, nature of injury, reason for accident, witness names etc. So share your opinions and doubts on how to fill ESIC accident report form 12 online.

21 thoughts on “How To Fill ESIC Accident Report Form 12 In Online.”

  1. My mother has to get her uterus treated in a private hospital. Please tell me what should I do first. Do I have to inform somewhere before treatment if yes then need your help in steps.

    Reply
  2. There is error showing that the “Shift Starting Date is not under employment period of selected employer !” what is the meaning of that. It is not allowing me to submit the report due to this. Report getting late to Submit .Kindly suggest as soon

    Reply
    • Please check whether the date of the accident is after the joining date of the employee in the ESIC portal, as per your message the reason should be that.

      Reply
  3. I have submitted an Accident Report ( Form-12 ) with some mistake in it. When I try to modify the report, it says “Currently modification approval is not provided”.
    Kindly Help

    Reply
  4. I have submitted an Accident Report ( Form-12 ) with some mistake in it. When I try to modify the report, it says “Currently modification approval is not provided”.
    Kindly Help

    Reply
  5. Hi,
    Good morning

    I have a query regarding esic accident report filling, when ever I fill accident report in esic portal it show network connection problem.

    It happens in almost every cases.

    Why this error has come, please help me with this issue.

    Reply
  6. There is error showing that the “Shift Starting Date is not under employment period of selected employer !” what is the meaning of that. It is not allowing me to submit the report due to this.
    One more question can we submit the report offline, if above problem is not solving

    Reply
    • Hi Pawan Suyal,
      Click on accident report(form 12) in ESIC employer portal, now enter IP number of the member and select modify the last report from the dropdown menu.

      Reply

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