ESIC Form 12; Accident Report from Employer;
ESIC Form 12 is to be submitted by the employer to the branch office or ESI Dispensary concerned immediately in respect of accidents that could result in death or disablement of the employee within 24 hours of its occurrence. However, minor accidents do not cover this criterion.
Moreover, ESIC has also introduced an online facility to file Accident Reports online also at ESI Employer Portal. However, if an employer intends to report such an accident offline, then he can use Form 12 hereunderDownload Form 12 in pdf form: ESIC Form 12