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The Contract Labour (Regulation & Abolition) Act, 1970

The Child Labour (Prohibition & Regulation Act), 1986
The Industrial Disputes Act, 1946
The Minimum Wages Act, 1948
The Payment Of Gratuity Act, 1972
The Industrial Employment Standing Orders Act, 1946
The Employees Provident Fund & Miscellaneous Provisions Act, 1952
The Equal Remuneration Act, 1976
The Employees' State Insurance Act, 1948
The Payment Of Bonus Act, 1965
The Payment Of Wages Act, 1936
The Factories Act, 1948

The Workmen's Compensation Act, 1923

THE CONTRACT LABOUR (REGULATION & ABOLITION) ACT, 1970 & ITS CENTRAL RULES, 1971

Section/Clause/ Schedule Of Submission/

S.No Forms Description Of the Form Submitting Authority Remarks
Sub-clause Maintenance

application to be
accompanied by a DD
Registering Officer of
Application For Registration of showing payment of fees
the area in which the
1 Form I Establishments employing contract Rule 17(1) As & when required for registration;
establishment sought to
labour application shall be
be registered is located
personally delivered or
sent by registered post
2 Form II Certificate Of Registration Rule 18(1) To be granted by the registering officer to the Principal Employer
To be maintained by the Registering Officer showing particulars of
3 Form III Register Of Establishments Rule 18(3) To be submitted inbyrelation
the contractor
establishments to whichforcertificates
grant of aoflicence to the have
registration licensing
beenofficer
issuedof
4 Form IV Application For Licence Rule 21(1) the area in which the establishment, in relation to which he is the contractor, is
Form Of Certificate By Principal located
5 Form V Rule 21(2) As & when required Issued by the Principal Employer to the contractor
Employer
Application for the adjsutment of security
6 Form V-A Rule 24(1-A) Application to be made by the Contractor to the licensing Officer
deposit
Form of licence granted by the Office Of
7 Form VI Rule 25(1) To be granted by the licensing officer to the Contractor
the licensing officer

Within 15 days of
Notice of Commencement/ Completion Inspector appointed To be submitted by the
8 Form VI-A Rule 25(2)(viii) commencement &
Of Contract Work by the licencee under Sec. 28 contractor
completion of contract work

Within 15 days of
Notice Of Comencement/ Completion of
commencement & Inspector appointed To be submitted by the
9 Form VI-B contract work by the employer for each Rule 81(3)
completion of contract work under Sec. 28 Principal Employer
contractor
under each contractor
To be applied to the licensing officer by the contractor within 30 days before the
10 Form VII Application for renewal of licences Rule 29(2)
date on which licence expires
 application to be
When conditions arise accompanied by a DD
Registering Officer of
Application for temporary registration of requiring the employment of showing payment of fees
the area in which the
11 Form VIII establishments employing contract Rule 32(2) contract labour immediately for registration;
establishment sought to
labour and estimated to last not application shall be
be registered is located
more than 15 days personally delivered or
sent by registered post
12 Form IX Temporary Certificate Of Registration Rule 32(3) To be granted
To be submitted by thebycontractor
the registering
for grant officer
of atolicence
the Principal Employerofficer of
to the licensing
13 Form X Application for temporary Licence Rule 32(2) the area in which the establishment, in relation to which he is the contractor, is
14 Form XI Temporary Licence Rule 32(3) locatedofficer to the Contractor
To be granted by the licensing
15 Form XII Register Of Contractors Rule 74 To be maintained By the Principal Employer
Register of Workmen employed by the To be maintained by the contractor in respect of each registered establishment
16 Form XIII Rule 75
contractor where he employs contract labour
To be issued by the contractor to each worker within 3 days of employment of
17 Form XIV Employment Card Rule 76
To be issued by the contractor to the worker
workman whose services have been
18 Form XV Service Certificate Rule 77
terminated
To be maintained by the for inany
contractor reasonofwhatsoever
respect each work on which he engages
19 Form XVI Muster Roll Rule 78(1)(a)(i)
To be maintained by the contractorcontract labour
in respect of each work on which he engages
20 Form XVII Register Of Wages Rule 78(1)(a)(i)
contract labour
To be maintained by the contractor in respect of each work on which he engages
21 Form XVIII Register Of Wages cum Muster Roll Rule 78(1)(a)(i)
contract
To be issued by the contractor to the labour
workmen atleast a day prior to the
22 Form XIX Wage Slip Rule 78(1)(b)
disbursement of wages( applicable when wage period is one week or more
Register of deductions for damage or To be maintained by the contractor in respect of each work on which he engages
23 Form XX Rule 78(1)(a)(ii)
loss contract labour
To be maintained by the contractor in respect of each work on which he engages
24 Form XXI Register Of Fines Rule 78(1)(a)(ii)
To be maintained by the contractorcontract labour
in respect of each work on which he engages
25 Form XXII Register Of Advances Rule 78(1)(a)(ii)
contract labour
To be maintained by the contractor recording therein the number of hours, and
26 Form XXIII Register Of Overtime Rule 78(1)(a)(iii)
wages paid for, overtime work, if any
Return to be sent by the contractor to the To be sent by the contractor in duplicate to the licensing officer not later than 30
27 Form XXIV Rule 82(1)
licensing officer days from the close of half year

Registering Officer of
Before 15th February
Annual Return Of Principal Employer to the area in which the
28 Form XXV Rule 82(2) following the end of the
be sent to the Registering Officer establishment sought to
year to which it relates
be registered is located
CHILD LABOUR (PROHIBITION & REGULATION) ACT, 1986

Schedule Of
Type & Nature Of Relevant Submitting
S.No Description Of the Form Submission/ Remarks
Document To be maintained by every Clause Authority
Maintenance
occupier of an establishment
Shall be retained by the employer
1 Form A in respect of children Rule 16(1) Yearly ..
for a period of three years
employed or permitted to
work
All young persons in employment
in any of the occupations set forth
As & when felt in Part A or processes set forth in
2 Form B Certificate of Age Rule 17(2) Inspector
necessary Part B of schedule to produce a
certificate of age from the
appropriate medical authority.
 INDUSTRIAL DISPUTES ACT, 1947 & INDUSTRIAL DISPUTES (CENTRAL) RULES, 1957

Type &
S.N Relevant Schedule Of Submission/ Remark
Nature Of Description Of the Form Submitting Authority
o Clause Maintenance s
Document
Form of application for the
reference of an industrial
Labour Secretary, GOI/Chief
dispute to a board of As & when a dispute is sought to be
1 Form A Rule 3 Labour Commissioner/RLC(
conciliation/court of referred
C)/ALC( C)
enquiry/labour court/national
tribunal
Notice to represent persons on To be issued by the Labour Secretary to the parties requiring them to
2 Form B Rule 6
board nominate a certain no. of persons to represent them on board
Labour Secretary, GOI/Chief
As & when a dispute ought to be
3 Form C Agreement Rule 7 Labour Commissioner/RLC(
referred for arbitration
C)/ALC( C)
To be issued by a board/court/labour court/tribunal/national tribunal which
4 Form D Summons Rule 17 requires the parties to produce any books, documents for purposes of
investigation
Labour Secretary, GOI/Chief
Notice of change of service
As & when a change ought to be Labour Commissioner/RLC(
5 Form E conditions proposed by an Rule 34
effected C)/ALC( C)/Secretary of
employer
registered trade union
6 Form F Form Of Authority Rule 36 to be sent to the concerned authority giving the names of representatives
To be delivered to the employer nominating a candidate for election to the
7 Form G Form Of Nomination Paper Rule 47
works' committee, duly signed by the proposer and the candidate
Progress Report on
Constitution and functioning of
Not later than 20th day of the month
8 Form G-1 Works Committee for the half Rule 56-A ALC( C)
following the half year
year ending 30th June/31st
December
To be sent to Labour Secretary, GOI/Chief Labour
Form for memorandum of
9 Form H Rule 58 Commissioner/RLC( C)/ALC( C) duly signed by the parties to the
settlement every complaint to be verifiedproceedings.
and to be presented in triplicate and to be
Complaint under Section 33-A accompanied by as many copies as there are opposite parties to the
10 Form I Rule 59
of the act complaint. The complaint ought to be presented before the labour
court/tribunal/National Tribunal
 to be made by the employer seeking express permission in writing of the
11 Form J Application for permission Rule 60(1)
Conciliation officer/board/labour court/tribunal/national tribunal
to be made by the employer seeking express permission in writing of the
Application for permission
12 Form K Rule 60(2) Conciliation officer/board/labour court/tribunal/national tribunal for any
under Section 33
to be madeaction
by thetaken underorSection
workman group of33-2(a)
workmenor (b)
to the Labour
Application for recovery of
13 Form K-1 Rule 62(1) Secretary/ RLC when any money is due from an employer to a workman
dues
or group of workmen
Application by a person to be made by a person authorised in writing by the workman or in the
authorised by a workman or case of death of workman, the assignee or heir of the deceased workman
14 Form K-2 Rule 62(1)
heir of deceased workman for to the Labour Secretary/ RLC when any money is due from an employer
recovery of dues to a workman or group of workmen
Application to the labour court To be made by a workman or group of workmen to the labour court to
15 Form K-3 Rule 62(2)
to receive entitlements receive entitlements due from an employer
Application to the labour court
by a person authorised by a
To be made by the assignee or heir of the deceased workman to the
16 Form K-4 workman or heir of deceased Rule 62(2)
labour court to receive entitlements due from an employer
workman to receive
entitlements
Form of notice of strike to be
To be made by Union/Workmen to the employer, with copy to ALC (C )/
17 Form L given by Union/Workmen in a Rule 71
RLC( C)/ CLC(C )
Public Utility Service
Form Of Notice of Lock Out to
be given by an employer To be made by the Employer with a copy to The Secretary of the
18 Form M Rule 72
carrying on a Public Utility Registered Union/ ALC(C )/RLC( C)/CLC( C)
Service
Form of Report of Strike or Information in this form to be submitted immediately on the occurrence of
19 Form N Lock Out in a Public Utility Rule 73 strike or lock out in a public utility service to the ALC(C ) for the local area
Service concerned
To be filed by the conciliation officer in respect of settlements effected
20 Form O Register Of Settlements Rule 75
under this act in respect of areas within his jurisdiction
Notice of comemncement of within 7 days of commencement of lay RLC( C) with a copy forwarded to
21 Form O-1 Rule 75-A
lay-off off ALC( C)
RLC( C) with a copy forwarded to
22 Form O-2 Notice Of Termination of lay off Rule 75-A within 7 days of termination of lay off
ALC( C)
 Form of application for
permission to lay off, to
continue the lay off of workmen Rule 75- to be sent to the concerned authority and sent through registered post
23 Form O-3
in Industrial establishments to B(1) acknowledgement due
which provisions of Chapter V-
B of the act applies

Form of Notice of
To be given within 3 days from the Central Government/ RLC( C)/
Retrenchment to be given by
24 Form P Rule 76 date on which notice is served to the ALC( C)/concerned employmeny
an employer under clause © of
workman exchange
section 25(F) of this act

Form of Notice of
Retrenchment to be given by Rule 76- to be served by the employer to the central govt. or such authority as
25 Form P-A
an employer under clause (d) A(1) specified under the act
of section 25(N) of this act

Form of notice of closure to be

given by an employer under to be sent by the employer to the Labour Secretary(GoI)/ RLC(C
26 Form Q Rule 76-B
Section 25-FFA of The )/ALC( C)/Local Employment Exchange
Industrial Disputes Act, 1947

Form of notice of closure to be

given by an employer under Rule 76- to be served by the employer to the Labour Secretary(GoI) with a copy to
27 Form Q-A
Section 25-O(1) of The C(1) the Registered Trade Union of the establishment
Industrial Disputes Act, 1947
 MINIMUM WAGES ACT, 1948 & BIHAR MINIMUM WAGES RULES

Type &
S. Description Of the Schedule Of Submission/ Submitting Remark
Nature Of Relevant Clause
No Form Maintenance Authority s
Document

1 Form I Rule 21(4) Register Of Fines Ought to be up to date

Register of deductions for damage or loss

2 Form II Rule 21(4) caused to the employer, by the neglect or Ought to be up to date
default of the employed persons

3 Form III Rule 21(4-A) Annual Return By Ist February each year
4 Form IV Rule 25(2) Register Of Overtime Ought to be up to date
5 Form V Rule 26(5) Muster Roll Ought to be up to date
Form Of Application by an employee regarding any claim preferred by the employee/
6 Form VI Section 20(2)
inspector/official of registered trade union/legal practitioner may apply
Form for a single application in respect of any number of employees employed in scheduled
7 Form VI- A Section 21(1)
employment.
Form of application by an Inspector or to be presented within 6 Authority
8 Form VII Section 20(2) person acting with the permission of months from the date of appointed under
authority payment of minimum wages the act.

Form in authority in favour of a legal to be presented within 6 Authority

9 Form VIII Section 20(2) practitioner/official of a registered trade months from the date of appointed under
union payment of minimum wages the act.

Form Of Summons to the opponent to When an application under section 20 is entertained , the
10 Form IX Section 20(3)
appaear before the authority authority shall hear the applicant & the employer.

Abstracts of the Minimum Wages Act, 1948 To be displayed at the factory

11 Form IX-A Rule 22
& the Bihar Minimum wages Rules, 1951 premises
 Ought to be up to date for
12 Form X Rule 26(1) Register Of Wages
every wage period
Ought to be issued every
13 Form XI Rule 26(2) Wage Slip
wage period
 PAYMENT OF GRATUITY ACT, 1972 & PAYMENT OF GRATUITY(CENTRAL) RULES, 1972

Type &
S.N Relevant Schedule Of Submission/ Remark
Nature Of Description Of the Form Submitting Authority
o Clause Maintenance s
Document

Within 30 days from which the rules Concerned controlling authority

1 Form A Notice Of Opening Rule 3 (1)
become applicable of the area
Within 30 days of any change in the
particulars of the establishment like Concerned controlling authority
2 Form B Notice Of Change Rule 3 (2)
name, address or nature of of the area
business

Atleast 60 days before the intended Concerned controlling authority

3 Form C Notice Of Closure Rule 3 (3)
closure of the business of the area
Notice for excluding husband To be submitted by the employee to the employer in triplicate. The employer
4 Form D Rule 5 (1)
from family after receipt forwards a copy to the concerned controlling authority of the area.
Notice of withdrawal of notice To be submitted by the employee withdrawing the notice in form D to the
5 Form E for excluding husband from Rule 5 (2) employer in triplicate. The employer after receipt forwards a copy to the
family concerned controlling authority of the area.
To be submitted by the employee to the employer in duplicate. The employer
6 Form F Nomination Rule 6 (1) within 30 days of the receipt of nomination , verify with the service particulars
and after attestation return back a copy to the employee.
To be submitted by the employee within 90 days of acquiring a family to the
7 Form G Fresh Nomination Rule 6 (3)
employer

To be submitted by the employee to the employer , in cases including where a

8 Form H Modification Of Nomination Rule 6 (4)
nominee predeceases an employee
Application for gratuity by an To be submitted by the employee, eligible for payment of gratuity to the
9 Form I Rule 7 (1)
employee employer , within 30 days from which the gratuity becomes payable.
To be submitted by the nominee of an employee to the employer within 30
Application for gratuity by a
10 Form J Rule 7 (2) days from the date of gratuity payable to him/her. For this purpose an
nominee
application in plain paper may also be accepted
 To be submitted by the legal heir of an employee, eligible for payment of
Application for gratuity by a
11 Form K Rule 7 (3) gratuity , to the employer, within 1 year from the date of gratuity payable to
legal heir
him/her
On verification of claims made for payment of gratuity, the employer , within
15 days of receipt of an application , issue a notice to the applicant employee ,
12 Form L Notice for payment of gratuity Rule 8 (1)
his nominee or legal heir, specifying the amount of gratuity payable and fixing
On verification
a date of payment of claims made
not later forthe
than payment of gratuity,
30th day of receiptif of
thethe
claim is found
application.
Notice rejecting payment of inadmissible, the employer may issue a notice to the applicant employee, his
13 Form M Rule 8 (1)
gratuity nominee
In cases whereinor legal heir , specifying
the employer refusesthe reasonsa why
to accept claimthe claim is found
application or issues
inadmissible
a notice specifying a amount of gratuity which is considered less by the
applicant or fails to issue a notice under rule 8, the claimant employee/ his
14 Form N Application for direction Rule 10 (1)
nominee/ legal heir may within 90 days of occurrence of cause for application,
apply in form N to the concerned controlling authority of the area for issuing a
On receipt of form N , the concerned controlling authority of the area may call
direction
Notice for appearance before
15 Form O Rule 11 (1) upon the applicant and the employer to appear before him on a specified date,
the controlling authority
time and place.
The controlling authority may , at any stage of proceedings, issue summons to
16 Form P Summons Rule 14
the applicant or the employer to produce evidences, documents etc.
Particulars of application under
17 Form Q Rule 16(1) The controlling authority to record the particulars of each case in form Q
Section 7
on subsequent verification of the genuineness of the claims made, the
controlling authority to issue a notice , specifying to the employer , the amount
18 Form R Notice for payment of Gratuity Rule 17
of gratuity payable and directing the employer for payment of gratuity within 30
The controlling authority on days of receipt
receipt of the ofdecision
notice. of the appellate authority,
Notice for payment of Gratuity
modify his direction for payment of gratuity and issue a notice to the employer,
19 Form S as determined by appellate Rule 18(8)
specifying the modified amount of gratuity and directing payment within 15
authority
daysthe
In situations wherein, of receipt
employerof notice
fails tobypaythetheemployer.
gratuity due under the act
Application for recovery of in accordance with the notice of the controlling authority , the employee/his
20 Form T Rule 19
gratuity nominee/legal heir may apply to the controlling authority in duplicate for
recovery
The employer to display an abstract of the act and rules framed thereunder in
Display of abstract of the act
21 Form U Rule 20 English and a language understood by the majority of employees at a
and rules
conspicuous place or near the main entrance of the establishment
INDUSTRIAL EMPLOYMENT (STANDING ORDERS) ACT, 1946

S. Section/Clause/Sub- Schedule Of Submission/

Forms Description Of the Form Submitting Authority Remarks
No clause Maintenance

this form is to be accompanied by

Within six months from the date on a statement giving particulars of
1 Form I Draft Standing Orders Section 3 which this act becomes applicable to Certifying Officer the workmen employed and the
an establishment name of the trade union to which
they belong

To be sent by the certifying officer, on receipt of draft standing orders to the trade union requiring
2 Form II Notice under Section 5 Section 5
any objections from their end

3 Form III Register Section 8 To be maintained by the certifying officer. This contains a copy of all certified standing orders
To be made by any person dsiring to prefer an appeal and forward it in quintuplicate to the
4 Form IV Appeal Rule 7-A(1)
appellate authority accompanied by a certified copy of standing orders
Any notice of discontinuance or of restarting of a shift working shall be displayed conspicuously
Notice of changes in shift Rule 7-A of Schedule
5 Form IV-A by the employer on a notice board at the main entrance to the establishment. A copy of such
working I
notice to be given to the secretary of the registered union.
Standing order 1 of to be maintained by every industrial establishment a service card duly attested by an authorised
6 Form V Service Card proforma
schedule I-B officer in respect of each workman in the form appended to these orders
 EMPLOYEES' PROVIDENT FUND & MISCELLANEOUS PROVISIONS ACT, 1952 & THE SCHEMES PROVIDED THEREUNDER

S.N Type & Nature Of Schedule Of Submission/

Description Of the Form Relevant Clause Submitting Authority Remarks
o Document Maintenance
Declaration & Form of
nomination for EPF / Pension/ As & when a new entrant joins
1 Form 2 33(EPF);18(EPS);10(EDLI) Concerned RPFC
IF to be filled in by the eligible the scheme
employee
Members' Annual Contribution By 30th April every year for the
2 Form 3A/ Form 7 (PS) 35,42,43,44(EPF); 19(EPS) Concerned RPFC
Cards year ending 31st March
Consolidated return of
employees entitled to become
Form 9/Form 3(PS)/ Form within 15 days of the
3 members of the funds on the 36(EPF); 20(EPS); 10(EDLI) Concerned RPFC
1(IF) commencement of the scheme
date of application of the
scheme

Return of employees qualifying

Form 5 / Form 4(PS)/Form for membership under PF, within 15 days of the close of
4 36(EPF); 20(EPS); 10(EDLI) Concerned RPFC
2 (IF) Pension & Insurance Fund for month
the first time during the month

Return of employees leaving

within 15 days of the close of
5 Form 10 / Form 5(PS) the service of the employer 36(EPF) ; 20(EPS) Concerned RPFC
month
during the month
Immediately on coverage &
Return of ownership in
6 Form 5-A 36A(EPF); 21(EPS); 1(EDLI) within 15 days of making any Concerned RPFC
duplicate
change in the establishment
Form 12-A/ Form 6 (PS)/ Consolidated Statement Of within 20 days of the close of
7 38(EPF) ; 20(EPS) ; 10(EDLI) Concerned RPFC
Form 4 (IF) Dues and Remittance the month
Consolidated Annual By 30th April every year for the
8 Form 6-A/ Form 8 (PS) 43(EPF) ; 20(EPS) Concerned RPFC
Contribution statement year ending 31st March
Form concerning transfer of
9 Form 13 previous accumulation dues 28(EPF) As and when required Concerned RPFC
from existing PF
Details of past employment /
10 Form 11 As and when required Concerned RPFC
membership of employee
 Remittance of PF contribution,
Challan ( there is one
Pension fund, Administration & within 15 days of the close of
11 consolidated challan of Concerned RPFC
Inspection Charges, EDLI & its month
accounts 1,2,10,21 & 22 )
admin. Charges

Form to be used by a member

of EPS 1995 for claiming
12 Form- 10 C As and when required Concerned RPFC
withdrawal benefit / Scheme
Certificate

Form to be used for claiming

superannuation pension,
Retirement pension, Short
13 Form- 10 D Service Pension, Disablement As and when required Concerned RPFC
pension, Widow Pension,
Children Pension, Orphan
Pension

Claim form to be used by a

14 Form- 19 major member of the EPF As and when required Concerned RPFC
scheme
Claim form to be used by a
nominee/ or a legal heir in case
15 Form- 20 As and when required Concerned RPFC
of death of a member of the
EPF scheme
 EQUAL REMUNERATION ACT, 1976 & EQUAL REMUNERATION RULES, 1976

Schedule Of
S.N Type & Nature
Description Of the Form Relevant Clause Submission/ Submitting Authority Remarks
o Of Document
Maintenance
To be
Form of complaint under clause (a)
Appropriate authority appointed submitte
1 Form A of sub section (1) of section 7 of Rule 3(1) As & when needed
under Section 7(1) d in
the act
triplicate
To be
Claim form under Section 7(1) of Appropriate authority appointed submitte
2 Form B Rule 4(1) As & when needed
the act under Section 7(1) d in
triplicate
Form Of Authority in favour of legal
Appropriate authority appointed
3 Form C practitioner or any official of a Rule 5 As & when needed
under Section 7(1)
registered Trade Union
Register to be maintained by the To be maintained up to
4 Form D Rule 6 ---
Employer date
 EMPLOYEES STATE INSURANCE ACT, 1948 & EMPLOYEES STATE INSURANCE REGULATIONS, 1950

Type &
Schedule Of Submission/
S.No Nature Of Description Of the Form Relevant Clause Submitting Authority Remarks
Maintenance
Document

to be filled in by the employee with his signature or thumb impression and submit
1 Form I Declaration Form Regulation 11 & 12
it to the employer

to be filled in by the employee and submitted back to the employer , who shall
2 Form I-A Family Declaration Form Regulation 15-A forward the same to the appropriate office within 10 days from the date of
submission by the employee

to be submitted by the insured person to the employer within 15 days of such

Changes in family declaration
3 Form I-B Regulation 15-B changes occurring and the employer in turn would forward the same to the
form
appropriate office within 10 days of receipt.

to be sent by the employer to the appropriate office within 10 days of receipt of

4 Form 3 Return of declaration forms Regulation 14
the filled up forms

to be issued by the appropriate office in respect of all insured employees, and

5 Form 4 Identity Card Regulation 17 send the same to the employer, who shall issue the same to the concerned
employee after obtaining the signature in the card

to be arranged by the appropriate office and necessary family particulars added

6 Form 4-A Family Identity Card Regulation 95-A
in Form 4

to be sent by the employer in quadruplicatealongwith receipt copies of challans

to the appropriate office within 42 days of termination of related contribution
7 Form 6 ESIC-Return of Contributions Regulation 26
period; within 21 days of permanent closure of the factory; within 7 days of the
date of receipt of requisition from the appropriate office

to be maintained by the employer in respect of every employee of his factory or

8 Form 7 Register Of Employees Regulation 32
establishment
 this medical certificate is to be issued by the insurance medical officer during the
Regulation 57 & 89-
9 Form 8 First Certificate first examination in respect of a spell of sickness or a spell of temporary
B
disablement

to be issued by the insurance meddical officer, when he feels that not later than 3
Regulation 58 & 89-
10 Form 9 Final Certificate days of the date of examination(other than a first certificate) the insured
B
employee would be fit to resume duties

to be submitted by the insured person within 7 days (commencing from the date
Regulation 59 & 89-
11 Form 10 Intermediate Certificate of first certificate) in cases wherein the final certificate is not issued within 7 days
B
of issue of first certificate

to be furnished by the insured person in cases wherein the insurance medical

Regulation 61 & 89-
12 Form 11 Special Intermediate Certificate officer feels that temporary disablement has continued for not less than 28 days
B
and such disablement is likely to continue for a longer period

to be submitted by the insured person desirous of claiming sickness or temporary

Sickness or Temporary
13 Form 12 Regulation 63 disablement benefit to the appropriate local office by post or otherwise alongwith
Disablement Benefit
appropriate medical certificates

to be submitted by every insured woman claiming maternity benefit in case of

14 Form 12-A Maternity Benefit for sickness Regulation 89-B sickness arising out of pregnancy, confinement, premature birth of child or
miscarriage to the local appropriate office by post or otherwise

Sickness or Temporary to be submitted by the insured person or insured woman desirous of claiming
Regulation 63 & 89-
15 Form 13 Disablement Benefit or Maternity sickness or temporary disablement benefit to the appropriate local office by post
B
Benefit for sickness or otherwise alongwith appropriate medical certificates

to be submitted by every insured woman claiming maternity benefit in case of

16 Form 13-A Maternity Benefit for sickness Regulation 89-B sickness arising out of pregnancy, confinement, premature birth of child or
miscarriage to the local appropriate office by post or otherwise

Sickness or Temporary to be submitted by the insured person or insured woman desirous of claiming
17 Form 14 Disablement Benefit or Maternity Regulation 63 sickness or temporary disablement benefit to the appropriate local office by post
Benefit for sickness or otherwise alongwith appropriate medical certificates

to be submitted by every insured woman claiming maternity benefit in case of

18 Form 14-A Maternity Benefit for sickness Regulation 89-B sickness arising out of pregnancy, confinement, premature birth of child or
miscarriage to the local appropriate office by post or otherwise
 To be maintained by the employer in which appropriate particulars of any
19 Form 15 Accident Book Regulation 66 accident causing personal injury to an insured person may be entered and
preserved every such book for a period of five years.

to be furnished by the employer to the nearest local office and to the nearest
20 Form 16 Accident Report from Employer Regulation 68
insurance medical officer immediately if the injury is serious

Dependant's benefit - Death Regulations 79 & To be issued free of charge by the Insurance Medical Officer attending the
21 Form 17
Certificate 95-C disabled person at the time of his death

To be submitted by the dependant or dependants concerned or by the legal

22 Form 18 Dependant's benefit - Claim Form Regulation 80 representative of the insured member with all supporting documents to the
appropriate local office by post or otherwise

To be submitted by the dependant whose claim for dependant's benefit is

Dependant's Benefit - Claim Form
23 Form 18-A Regulation 83-A admitted, to the local appropriate office except in the case of first and final
for periodical Payments
payments

Maternity Benefit - Notice of To be submitted by an insured woman before confinement to the local
24 Form 19 Regulation - 87
Pregnancy appropriate office

Maternity Benefit - Certificate of To be submitted by an insured woman before confinement to the local
25 Form 20 Regulation - 87
Pregnancy appropriate office

Maternity Benefit - Certificate of To be submitted by every insured woman claiming maternity benefit before
26 Form 21 Regulation - 88
Expected Confinement confinement not earlier than 15 days before the expected date of confinement

To be submitted by every insured woman to the local appropriate officestating

therein the date on which she ceases to work for remuneration and if the insured
27 Form 22 Maternity Benefit - Claim Form Regulation 88 & 89
woman is claiming maternity benefit for miscarriage the claim form ought to be
submitted within 30 days of the date of miscarriage.

Maternity Benefit - Certificate of To be submitted by every insured womanwothin 30 days of the date on which her
28 Form 23 Regulation 88 & 89
Confinement or Miscarriage confinement takes place to the local appropriate office
 To be furnished by an insured woman who has claimed maternity benefit, if she
Maternity Benefit - Notice Of
29 Form 24 Regulation 91 does work for remuneration on any day during the period for which maternity
Work
benefit would be payable to her.
Maternity Benefit after the death
To be submitted by the nominee or legal representative of the insured woman to
Form 24-A & of an insured woman leaving
30 Regulation 89-A the local appropriate office, a claim for maternity benefit within 30 days of the
24-B behind the child / Maternity
death of the insured woman, together with a death certificate in 24-B
Benefit- Death Certificate

Claim for Permanent Disablement To be submitted by an insured person declared as permanently disabled by a
31 Form 25 Regulation 76-A
Benefit Medical Board to the local appropriate office by post or otherwise

To be submitted by the claimant entitled, to the local appropriate office and in

32 Form 25-A Funeral Expenses Claim Form Regulation 95-E case of a minor, by his guardian and the form ought to be submitted with all
supporting documents

To be submitted by every person whose claim for permanent disablement has

Certificate for permanent
33 Form 26 Regulation 107 been admitted at six monthly intervals, a certificate attested by such authority as
disablement benefit
may be specified by the director general

To be submitted by every person whose claim for dependant's benefit has been
Declaration & Certificate for
34 Form 27 Regulation 107-A admitted at six monthly intervals , duly attested by such authority as may be
Dependant's Benefit
specified by the director general
To be furnished by every employer to the appropriate office, such particulars &
information in respect of abstention of an insured person from work for which
35 Form 28 Abstention Verification Regulation 52-A
sickness benefit or disablement benefit for temporary disablement have been
claimed or paid
To be furnished by every employer to the appropriate office, such particulars &
36 Form 28-A Abstention Verification Regulation 52-A information in respect of abstention of an insured woman from work for which
maternity benefit hass been claimed or paid
 PAYMENT OF BONUS ACT, 1965 & PAYMENT OF BONUS RULES, 1975

Schedule Of
S.N Type & Nature Relevant Submitting
Description Of the Form Submission/ Remarks
o Of Document Clause Authority
Maintenance

Register showing the computation of To be maintained by the

1 Form A Rule 4(a) ---
allocable surplus employer
Register showing the set on & set off of the To be maintained by the
2 Form B Rule 4(b) ---
allocable surplus employer

Register showing the details of amount of

bonus due to each of the employees, the To be maintained by the
3 Form C Rule 4( c ) ---
deductions under section 17 & 18 and the employer
amount actually disbursed

Time limit for the

Within 30 days after the said purpose is
Annual Return stating the amount of bonus
expiry of time limit within a period of
4 Form D paid to employees for the accounting year Rule 5 Inspector
specified for payment of eight months from
ending on 31st March
bonus the close of
accounting year
 PAYMENT OF WAGES ACT, 1936 & PAYMENT OF WAGES RULES, 1937

Type &
S. Submitting
Nature Of Description Of the Form Relevant Clause Schedule Of Submission/ Maintenance Remarks
No Authority
Document

Within 12 months from the the date on which deductions

Inspector Of
1 Form A Form Of Individual Application Section 15(2) were made or the date on which payment was due, as the
Factories
case may be.

Within 12 months from the the date on which deductions

Inspector Of
2 Form B Form Of Group application Section 15(2) were made or the date on which payment was due, as the
Factories
case may be.

Form of application by an inspector or Within 12 months from the the date on which deductions
Section 15(2) & Inspector Of
3 Form C person permitted by the authority or were made or the date on which payment was due, as the
Section 16 Factories
authorised to act case may be.

Within 12 months from the the date on which deductions

Inspector Of
4 Form D Certificate Of Authorisation Section 15(2) were made or the date on which payment was due, as the
Factories
case may be.

When an application is entertained under section 15(2), the

authority shall hear the applicant & the employer and direct
5 Form E Notice for disposal of application Section 15(3) the employer for refund of deductions made or payment of
delayed wages or make no directions if the application is
found to be malafide.

Record of order of direction to be made by the authority

6 Form F Record of order or direction Section 15(3)
under the act

Within 30 days of the date on which order or direction was

Notice to respondent of the day fixed for made, an appeal could be made by the employer/ employee
7 Form G the hearing of appeal under section 17 of Section 17 or his legal practitioner and the judge of the district court to
the act issue the notice to the respondent of the day fixed for hearing
of appeal.
 FACTORIES ACT, 1948

Type & Nature Schedule Of Submission/

S.No Description Of the Form Relevant Clause Submitting Authority Remarks
Of Document Maintenance

Application for permission to construct,

To be submitted to the Chief Inspector Of Factories, duly signed by the Occupier Of the factory
1 Form 1 extend or take into use any building as a
before commencing the manufacturing process
factory
Application for registration and grant or To be submitted by the Occupier/Manager to the Inspector Of Factories of the area concerned
2 Form 2
renewal of licence not later than the date on which the license expires
to be made by the occupier and submitted to the Chief Inspector Of
3 Form 3 Notice of Change of Manager Rule 12-A Factories with the signature of the new manager and occupier
appended
To be granted by the Inspector Of Factories after verifying the
4 Form 4 Licence to work a factory Rule 5 correctness of the application. This licence shall remain valid upto 31st
december of the year for which it is granted
To be granted by the certifying surgeon to the young persons
5 Form 5 Certificate Of Fitness Rule 14-2(a)
employed in a factory

6 Form 6 Humidity Regsiter Rule 24 Temperatures recorded in a Hygrometer to be entered in this register.

To be maintained with the dates on which white washing, colour

7 Form 7 Record of Lime Washings, Paintings etc. Rule 15
washing, varnishing etc. are carried out.
8 Form 8 Report of examination of pressure vessel
9 Form 9 Register Of Compensatory Holidays Rule 77(4) To be maintained by the manager in respect of compensatory holidays
To be maintained by the manager of every factory in which workers are
10 Form 10 Overtime Muster Roll for exempted workers Rule 78
exempted under Sections 64 or 65
11 Form 10-A Overtime Slip

12 Form 11 Notice Of Periods Of Work for Adult Workers Rule 79 To be exhibited by the Manager of every factory

13 Form 12 Register Of Adult Workers Rule 80 To be maintained in every factory

To be issued to every worker with the signature of occupier/manager of
14 Form 12-A Identity Card Of Workers Rule 80-A
the factory
15 Form 13 Notice of Periods of work for child workers Rule 85 To be exhibited by the Manager of every factory
16 Form 14 Register Of Child Workers Rule 86 To be maintained in respect of child workers employed
17 Form 15 Register Of Leave with wages Rule 87 To be maintained by the manager of every factory

18 Form 16 Health Register Section 87 To be maintained by the manager in respect of dangerous operations
Factory Inspector; SDO;Officer-
Within 12 hours of occurrence of an
19 Form 17-A Notice Of Accident or dangerous occurrence Rule 96 In-Charge of the nearest police
accident
station
To be sent by the manager of the factory as soons as any worker
20 Form 18 Notice Of Poisoning or disease Rule 97 contacts any disease specified in the schedule to the Chief Inspector/
Inspector/Medical Inspector/Certifying Surgeon
21 Form 19 Abstract of the Act Rule 99 To be displayed in every factory
To be furnished by the Manager to the Chief Inspector before 15th
22 Form 20 Annual Return Rule 100(1)
January of the year subsequent to which it relates
To be furnished by the Manager to the Chief Inspector before 15th July
23 Form 21 Half Yearly Return Rule 100(2)
of each year
To be maintained by the manager of every factory in respect of
24 Form 22 Muster Roll Rule 103
workers employed in the factory
To be maintained in every factory furnishing complete details in respect
25 Form 23 Register Of Accidents Rule 104
of every accident which may occur
To be granted by the certifying surgeon in respect of persons employed in operations involving
26 Form 24 Special Certificate Of Fitness
use of lead compounds
Certificate Of Fitness for dangerous To be granted by the certifying surgeon in respect of persons
27 Form 25 Rule 96
operations employed in dangerous operations
Register Of Surgeon's fees for the issue of To be maintained by the certifying surgeon or examining surgeon in
28 Form 26 Rule 14
duplicate certificate respect of fees paid for issue of a duplicate certificate
To be handed over by the certifying surgeon or examining surgeon to
29 Form 27 Certifying Surgeon's visit Note Rule 14 (9)
the Manager detailing the result of each visit to the factory
30 Form 28 Diary Of Inspector Of Factories
31 Form 29 Closure Report Of a Factory
To be maintained by the manager in respect of examination reports of
32 Form 30 Register of Water Sealed Gas Holder Rule 57-A
the gas holders carried out by the person qualified to carry out the test
Report of examination of water sealed gas To be submitted by the person carrying out the examination in the form
33 Form 31 Rule 57-A
holders of a report to the manager or the occupier.
 Register of trained adult male workers To be maintained in every factory carrying therein the name of every
34 Form 32 employed to carry out mounting or shifting or Rule 59-A worker who may be employed in performing work specified in section
belts, lubrications etc. 21
Certificate to young persons considered fit to
To be maintained by the manager, containing therein the certifcates
35 Form 33 work at machine, plant or process of Rule 59-B(2)
issued to young persons.
dangerous character
To be sent by the manager or occupier of the factory to the chief
36 Form 34 Form Of Certificate Of Stability Rule 3-A
Inspector in respect of the manufacturing process carried out.
To be sent by the manager/ occupier within 15 days from the date of
37 Form 35 Record Of Eye Examination Rule 59-C(4)
examination.
 WORKMEN'S COMPENSATION ACT, 1923 & WORKMEN'S COMPENSATION RULES, 1924

Type & Nature Schedule Of Submission/

S.No Description Of the Form Relevant Clause Submitting Authority Remarks
Of Document Maintenance

To be submitted by the employer as

The Workmen's
1 Form A Deposit of compensation for fatal accident Rule 6(1) & when an injury resulting in death
Compensation Commissioner
occurs.

Deposit of compensation for non fatal accident to to be submitted by the employer as The Workmen's
2 Form AA Rule 6(1)
a woman or person under legal disability & when an injury occurs. Compensation Commissioner

To be given by the Commissioner to the employer on receipt of form

3 Form B Receipt for compensation Rule 6
A or B
To be furnished by the Commissioner to the employer on receipt of
4 Form C Statement of disbursements Rule 6(3)
application
Deposit of compensation for non-fatal accidents,
to be submitted by the employer as The Workmen's
5 Form D other than to a woman or person under legal Rule 9
& when an injury occurs. Compensation Commissioner
disability
To be given by the Commissioner to the employer on receipt of form
6 Form E Receipt for compensation Rule 9
D

Within 7 days of death or serious The Workmen's

7 Form EE Report of fatal accidents Rule 11
bodily injury Compensation Commissioner

8 Form F Application for compensation by workman Rule 20 to be made by the applicant and sent to the commissioner

9 Form G Application for order to deposit compensation Rule 20 to be made by the applicant and sent to the commissioner

10 Form H Application for commutation Rule 20 to be made by the applicant and sent to the commissioner

11 Form J Notice Rule 39 To be issued by the commissioner to the applicant for compensation

12 Form JJ Notice Rule 39(3) To be issued by the commissioner to the applicant for compensation
Memorandum Of Agreement concerning injury
13 Form K Rule 48 To be sent by the employer to the commissioner
resulting in temporary disablement
Memorandum Of Agreement concerning injury
14 Form L Rule 48 To be sent by the employer to the commissioner
resulting in permanent disablement
 Memorandum Of Agreement concerning injury
15 Form M Rule 48 To be sent by the employer to the commissioner
resulting in temporary disablement
To be issued by the commissioner to the parties concerned on
16 Form N Notice to record memorandum of agreement Rule 49
receiving a memorandum of agreement
To be issued by the commissioner to the parties concerned on
17 Form O Notice to not record memorandum of agreement Rule 49 & 50 receiving a memorandum of agreement , stating reasons for failure
to record the memorandum of agreement
To be issued by the commissioner to the parties stating a date for
18 Form P Notice of show cause Rule 50 hearing the parties and giving them an opportunity to show cause
why the said agreement ought to be registered.
To be issued by the commissioner to the parties stating a date for
hearing the parties and giving them an opportunity to show cause
19 Form Q Notice of show cause Rule 50
why the said agreement ought to be registered and directing them to
make all representations on the scheduled date

20 Form R Register Of Agreements Rule 52 To be maintained by the commissioner up to date