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).
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.
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.
Now we will find online ESIC accidental 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.
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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.
You have to visit your ESIC dispensary first, after verifying the medical details they will guide you on treatment.
Is there any time period for submitting form 12
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
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.
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
Hi Anisur Rahman,
Raise a grievance at ESIC portal they may solve your problem.
Sir , please send mi Accident form format.
Hi Mohan Ghuge,
You can download ESIC accident form here https://www.esic.nic.in/downloadableforms/Form-12%20Accident%20Report%20from%20Employer.pdf
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
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.
Hi Kamaljeet Singh,
Try in different system using internet explorer.
I also try Internet explorer but is result is same “FIX CONNECTION PROBLEM”
It happens every report.
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
how to download esic accident report form 12 by ref. no.?
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.
how to take reprint of on line filling accident form
Hi Kiran Patil,
Click on accident report (form 12) on esic home page, there in popup window enter IP number of the person and select modify report. Here you can take printout.
Hi.. where to submit esic form no 12, esic branch office or esic dispensary.plzz tell.
how to take a print out of an accident report already submitted to ESIC
how to take a print out of an accident report already submitted to ESIC , i have reference number