What is ESIC Form 24 and How is it Filled Out for Benefits?

Definition & Meaning of ESIC Form 24

ESIC Form 24, known as the Declaration and Certificate for Dependents' Benefit, is a crucial document used in the context of the Employees' State Insurance Corporation (ESIC). This form is submitted by the nominee or dependent of a deceased insured person to claim benefits. The primary purpose of this form is to provide a formal declaration of the relationship between the claimant and the deceased, thereby establishing eligibility for the benefits. The form must be filled out accurately to ensure that the claim is processed smoothly.

In the context of the ESIC, this form serves as both a declaration by the claimant and a certificate that must be verified by an authorized official. This dual function ensures that the claims are legitimate and that the benefits are provided to the rightful dependents.

How to Fill Out ESIC Form 24

Filling out ESIC Form 24 requires careful attention to detail to ensure all information is accurate. The form typically includes sections that require the claimant to declare their relationship to the deceased, confirm eligibility criteria, and provide personal information. Here are the key steps to fill out the form:

  • Personal Information: Enter your full name, address, and contact details. Ensure that this information matches official documents.
  • Relationship to Deceased: Clearly state your relationship to the deceased insured person. This could be a spouse, child, or dependent relative.
  • Eligibility Confirmation: Confirm your eligibility by stating whether you have remarried (if applicable) or if you are a minor or infirm.
  • Certification: The form must be certified by an authorized official, which may include a government employee or a representative from the ESIC.

Steps to Complete the ESIC Form 24

Completing ESIC Form 24 involves several steps to ensure that all necessary information is provided. Follow these steps for a successful submission:

  1. Gather all required documents, including proof of identity and relationship to the deceased.
  2. Download the ESIC Form 24 from the official ESIC website or obtain a physical copy from an ESIC office.
  3. Fill in the personal details accurately, ensuring there are no typographical errors.
  4. Provide a clear declaration of your relationship to the deceased.
  5. Confirm your eligibility status as required.
  6. Have the form certified by an authorized official.
  7. Submit the completed form either online, by mail, or in person at the designated ESIC office.

Who Typically Uses ESIC Form 24

ESIC Form 24 is primarily used by dependents of deceased insured individuals who are eligible to claim benefits under the Employees' State Insurance scheme. This includes:

  • Spouses of the deceased insured person.
  • Children, including minors or those who are still studying.
  • Other dependents, such as parents or siblings, who may qualify under specific conditions.

Understanding who can use this form is essential for ensuring that the right individuals receive the benefits they are entitled to after the loss of an insured family member.

Important Terms Related to ESIC Form 24

Familiarity with key terms related to ESIC Form 24 can aid in understanding the form and its purpose. Some important terms include:

  • Nominee: The person designated to receive benefits upon the death of the insured individual.
  • Dependents: Individuals who rely on the insured for financial support, including family members.
  • Certification: The process of having the form verified by an authorized official to confirm its authenticity.

Required Documents for ESIC Form 24

When submitting ESIC Form 24, certain documents must accompany the application to verify the claims made in the form. Required documents typically include:

  • Proof of identity of the claimant, such as a government-issued ID.
  • Death certificate of the insured individual.
  • Documents proving the relationship to the deceased, such as marriage certificates or birth certificates.

Having these documents ready can expedite the processing of the claim and ensure compliance with the requirements set forth by the ESIC.

Form Submission Methods

ESIC Form 24 can be submitted through various methods, providing flexibility for claimants. The submission methods include:

  • Online Submission: Many ESIC offices allow for the online submission of claims, making it convenient for users.
  • Mail: Claimants can send the completed form and required documents via postal service to the appropriate ESIC office.
  • In-Person Submission: Visiting an ESIC office to submit the form directly is also an option, allowing for immediate assistance.

Examples of Using ESIC Form 24

Understanding practical scenarios can help clarify the use of ESIC Form 24. Here are a few examples:

  • A widow submits the form to claim benefits after her husband, who was an insured employee, passes away. She provides the marriage certificate as proof of relationship.
  • A minor child submits the form with the help of a guardian to claim benefits after the death of a parent. The guardian must provide necessary documentation to establish the child's eligibility.

These examples illustrate the form's application in real-world situations, emphasizing the importance of accurate completion and submission.

Eligibility Criteria for ESIC Form 24

To successfully claim benefits using ESIC Form 24, certain eligibility criteria must be met. These criteria typically include:

  • The claimant must be a direct dependent of the deceased insured individual.
  • If the claimant is a spouse, they should not have remarried since the death of the insured.
  • Minor children or those who are infirm must provide appropriate documentation to confirm their status.

Understanding these criteria is essential for ensuring that the right individuals can access the benefits they are entitled to under the ESIC scheme.

By signNow's Team
By signNow's Team
August 28, 2025
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