ESI 7b form is also called as ESI medical acceptance card it is a request type of form of insured person or employee who wants to include him/her under particular of the doctor for treatment in ESIC hospital. Esic can be downloaded from the ESIC official website, 7b form is used for the medical benefits of the employee provided under the ESIC scheme.
ESIC form can be downloaded by following these steps
Medical Acceptance card (7b) is available in ESIC website employee can log in with his/her credentials in to site then print counter foil tab,
Employee should provide IP Insurance No and submit then will appear left site medical acceptance card format with pre printed IP details.
It can be downloaded by the employee himself
To submit ESI 7B form:
Medical Benefits (CASH LESS) under ESIC employee need to submit under mentioned documents to dispensary -
1. ESIC Card’s Xerox attested by employer.
2. Temporary Identity Certificate/ E-Pehchan Card with Aadhar card number attested by employer.
3. Entitlement to Benefit Certificate through esic.in/employeeportal/login.aspx
4. Eligibility Certificate by employer.
ESIC temporary identity card is issued when an employee completes his registration of ESIC account or when an employee lost his/her smart identity card t can be applied through online or offline by submitting the form no 72 to the regional office , employer will give the print out of temporary admit card issued after the registration.
1.Please Keep this Printout for Future Reference and Bring this Along with Your Photo ID Card for All Your Claim Benefits and Medical Benefits .
2.This Copy Should be Retained with You until the Biometric Card is Dispatched .
3.Employer to please affix employee and his family photo here and attest with official stamp across .
Signature / Stamp of ESIC Officer / Employer
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