Edit, Download, and Sign the Annual Information Form ESI Act Compliance

Form

eSign

Email

Add Annotation

Share Form

How do I fill this out?

To fill out this form, start by entering the complete name and postal address of your factory or establishment. Next, provide your contact details like telephone and fax numbers, followed by your bank account information. Finally, ensure that the declaration section is signed by the principal employer.

imageSign

How to fill out the Annual Information Form ESI Act Compliance?

  1. 1

    Enter the factory's name and address.

  2. 2

    Provide contact information including phone and fax numbers.

  3. 3

    Fill in the bank account details.

  4. 4

    Indicate the type of business and proprietorship details.

  5. 5

    Sign the form to certify accuracy.

Who needs the Annual Information Form ESI Act Compliance?

  1. 1

    Factory owners need this form to comply with the ESI Act requirements.

  2. 2

    Business establishments require this for correctly reporting employee data.

  3. 3

    Compliance officers use this form to ensure organizational adherence to ESI regulations.

  4. 4

    Accountants may need this form to assist clients with ESI-related filings.

  5. 5

    HR professionals require this form to maintain accurate employee records.

How PrintFriendly Works

At PrintFriendly.com, you can edit, sign, share, and download the Annual Information Form ESI Act Compliance along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

thumbnail

Edit your Annual Information Form ESI Act Compliance online.

Editing this PDF on PrintFriendly is straightforward and user-friendly. You can directly modify the text fields within the form to ensure your details are accurate. Once edited, download the revised document for your records.

signature

Add your legally-binding signature.

To sign the PDF on PrintFriendly, simply navigate to the signing tool within the editor. You can create a digital signature to insert into the document easily. Ensure you finalize the document by saving it after signing.

InviteSigness

Share your form instantly.

Sharing your PDF on PrintFriendly is simple and efficient. Use the sharing options to generate a link that you can send via email or social media. Ensure that your essential contacts have access to the latest version of the document.

How do I edit the Annual Information Form ESI Act Compliance online?

Editing this PDF on PrintFriendly is straightforward and user-friendly. You can directly modify the text fields within the form to ensure your details are accurate. Once edited, download the revised document for your records.

  1. 1

    Open the PDF file in the PrintFriendly editor.

  2. 2

    Select the text field you wish to edit.

  3. 3

    Make the necessary changes to the information.

  4. 4

    Review your edits for accuracy.

  5. 5

    Download the edited PDF after saving your changes.

What are the instructions for submitting this form?

To submit this form, email it to your local ESI office at info@esic.gov.in. Alternatively, you can fax the completed form to 1800-123-4567. It is also acceptable to visit the local office in person for submission of the form.

What are the important dates for this form in 2024 and 2025?

Key dates for form submission in 2024 include June 30 for fiscal year ending March 31. In 2025, submission deadlines will similarly fall on June 30. Ensure timely completion to avoid penalties.

importantDates

What is the purpose of this form?

The purpose of this form is to ensure that factories and establishments submit crucial information as required by the ESI Act. It helps in the proper functioning of the Employees' State Insurance Corporation. This compliance guarantees the welfare of employees and accountability of employers.

formPurpose

Tell me about this form and its components and fields line-by-line.

The form comprises multiple fields for essential data collection regarding the factory or establishment.
fields
  • 1. Employer's Code No.: Identification number of the employer.
  • 2. Name of Factory/ Establishment: Official name of the business entity.
  • 3. Complete Postal Address: Full mailing address of the establishment.
  • 4. Telephone No.: Contact number for the establishment.
  • 5. Email Address: Official email for communications.
  • 6. Income Tax PAN: Permanent Account Number for taxation purposes.
  • 7. Power Connection No.: Identification number for the electricity connection.
  • 8. Signature: Signature of the principal employer.

What happens if I fail to submit this form?

Failure to submit this form can lead to penalty risks under the ESI Act. Employers may face scrutiny and audits from regulatory bodies. It is crucial to adhere to submission deadlines to avoid complications.

  • Compliance Issues: Non-submission may result in legal compliance violations.
  • Financial Penalties: Late or failing to submit could incur financial charges.
  • Operational Delays: Issues in processing employee benefits may arise due to missing information.

How do I know when to use this form?

This form should be used annually to report information about the factory or establishment to the ESI Corporation. Whenever there are significant changes in employment or establishment status, this form must be submitted. Ensure to keep it updated to reflect current operating conditions.
fields
  • 1. Annual Reporting: Used for yearly compliance reports to ESI.
  • 2. Changes in Ownership: To update details upon ownership transfer.
  • 3. New Establishments: Mandatory for new factories registering for ESI.

Frequently Asked Questions

What is this form related to?

This form is used for submitting annual information on factories covered under the ESI Act.

Who should fill out this form?

It should be filled out by the principal employer or authorized personnel from the factory.

Can I edit this PDF online?

Yes, you can easily edit this PDF using PrintFriendly's PDF editor.

Is there a way to save my edits?

After making necessary edits, you can download the document.

How do I sign the PDF?

Use PrintFriendly's signing tool to create and insert your digital signature.

Can I share this PDF with others?

Yes, you can generate a link to share your PDF with others easily.

What if I need to change information later?

You can always re-edit the PDF using PrintFriendly to update your information.

Is this form mandatory?

Yes, this form is mandatory for compliance with the ESI regulations.

What if I don't submit this form?

Failure to submit may lead to compliance issues with the ESI Act.

Can I fill it out on mobile devices?

Yes, PrintFriendly is accessible on mobile devices for convenience.

Related Documents - ESI Annual Info Form

https://www.printfriendly.com/thumbnails/00c3187b-714a-46e1-b838-63cb55d99033-400.webp

Preparticipation Physical Evaluation Form

The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.

https://www.printfriendly.com/thumbnails/0044f6bb-200d-4feb-af5e-5418c7c49f5b-400.webp

Health Insurance Tax Credits Guide 2015

This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.

https://www.printfriendly.com/thumbnails/004d5be1-e317-4428-8e2a-abdae34e3104-400.webp

TSP-77 Partial Withdrawal Request for Separated Employees

The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.

https://www.printfriendly.com/thumbnails/00130a9c-16ca-4288-b930-d1b35cfc98a5-400.webp

Ray's Food Place Donation Request Form Details

This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.

https://www.printfriendly.com/thumbnails/0068df9b-4e3c-483a-b634-e4a14e1ac2d7-400.webp

Pastoral Ministry Evaluation Form for Board of Elders

This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.

https://www.printfriendly.com/thumbnails/006523dd-df32-4387-b7ec-377b657bab81-400.webp

Health Provider Screening Form for PEEHIP Healthcare

This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.

https://www.printfriendly.com/thumbnails/00bd082a-fe2f-430f-9aec-8e73104dc545-400.webp

Common Law Marriage Declaration Form for FEHB Program

This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.

https://www.printfriendly.com/thumbnails/0081b68c-5987-40c0-8165-6c4e6bc8ca16-400.webp

MyPRALUENT™ Enrollment Form Instructions and Details

This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.

https://www.printfriendly.com/thumbnails/0018a923-2651-48d9-a13e-33e539f837c5-400.webp

Application for Certified Copy of Birth Certificate

This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.

https://www.printfriendly.com/thumbnails/00180268-d199-44a7-8663-4a56cc1c8a54-400.webp

Torrance Memorial Physician Network Forms for Patients 18+

This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.

https://www.printfriendly.com/thumbnails/009686d3-b5a9-4a32-8146-5b45159f41f6-400.webp

Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone

This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.

https://www.printfriendly.com/thumbnails/0088f689-5aa6-4002-a99c-c65d49060780-400.webp

Texas Automobile Club Agent Application Form

This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.