Download ESIC 142 FORM for Claim conveyance allowance and/or compensation for loss of wages for an IP appeared before the medical board

Download ESIC FORM ESIC – 142

 

Employees’ State Insurance Corporation As per ESIC Rule Medical authority under Regulation 71 (i) Directions by the Corporation —

Every claimant for and every beneficiary in receipt of disablement benefit shall comply with every direction given to him by the appropriate Regional Office which requires him either —

(i)To submit himself to a medical examination by such medical authority as may be appointed by that office for the purpose of determining the effect of the relevant employment injury or the treatment appropriate to the relevant injury or loss of faculty, or