5 Statutory Compliance
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The Employment Exchanges(Compulsory Notification Of Vacancies) Act, 1959
Inter State Migrant Workmen( Regulation Of Employment & conditions Of service ) Act, 1979
The Workmen's Compensation Act, 1923
The Payment Of Gratuity Act, 1972
The Industrial Employment Standing Orders Act, 1946
The Employees Provident Fund & Miscellaneous Provisions Act, 1952
The Factories Act, 1948
The Employees' State Insurance Act, 1948
The Payment Of Bonus Act, 1965
The Payment Of Wages Act, 1936
The Apprentices Act, 1961
The Contract Labour (Regulation & Abolition) Act, 1970
The Child Labour (Prohibition & Regulation Act), 1986
The Industrial Disputes Act, 1946
The Equal Remuneration Act, 1976
The Trade Unions Act, 1926
The Minimum Wages Act, 1948
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S.No Forms Description Of the FormSection/Clause/Su
b-clause
Schedule Of Submission/
MaintenanceSubmitting Authority
1 Form IApplication For Registration ofEstablishments employing contract
labour
Rule 17(1) As & when required
Registering Officer of
the area in which theestablishment sought to
be registered is located
2 Form II Certificate Of Registration Rule 18(1)
3 Form III Register Of Establishments Rule 18(3)
4 Form IV Application For Licence Rule 21(1)
5 Form VForm Of Certificate By Principal
EmployerRule 21(2) As & when required
6 Form V-AApplication for the adjsutment of security
depositRule 24(1-A)
7 Form VIForm of licence granted by the Office Of
the licensing officerRule 25(1)
8 Form VI-ANotice of Commencement/ Completion
Of Contract Work by the licenceeRule 25(2)(viii)
Within 15 days of
commencement &
completion of contract work
Inspector appointed
under Sec. 28
9 Form VI-B
Notice Of Comencement/ Completion of
contract work by the employer for each
contractor
Rule 81(3)
Within 15 days of
commencement &
completion of contract work
under each contractor
Inspector appointed
under Sec. 28
10 Form VII Application for renewal of licences Rule 29(2)
11 Form VIII
Application for temporary registration of
establishments employing contract
labour
Rule 32(2)
When conditions arise
requiring the employment
of contract labour
immediately and estimated
to last not more than 15
days
Registering Officer of
the area in which the
establishment sought to
be registered is located
12 Form IX Temporary Certificate Of Registration Rule 32(3)
13 Form X Application for temporary Licence Rule 32(2)14 Form XI Temporary Licence Rule 32(3)
15 Form XII Register Of Contractors Rule 74
16 Form XIIIRegister of Workmen employed by the
contractorRule 75
Issued by the Principal E
To be maintained By the Principal E
To be maintained by the contractor in respect of each
where he employs contract lab
THE CONTRACT LABOUR (REGULATION & ABOLITION) ACT, 1970 & ITS CENTRAL RULES, 1971
To be submitted by the contractor for grant of a licencTo be granted by the licensing officer to t
Application to be made by the Contractor to th
To be granted by the licensing officer to t
To be applied to the licensing officer by the contractor
To be granted by the registering officer to the
To be granted by the registering officer to the
To be maintained by the Registering Officer sh
To be submitted by the contractor for grant of a licenc
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17 Form XIV Employment Card Rule 76
18 Form XV Service Certificate Rule 77
19 Form XVI Muster Roll Rule 78(1)(a)(i)
20 Form XVII Register Of Wages Rule 78(1)(a)(i)
21 Form XVIII Register Of Wages cum Muster Roll Rule 78(1)(a)(i)
22 Form XIX Wage Slip Rule 78(1)(b)
23 Form XXRegister of deductions for damage or
lossRule 78(1)(a)(ii)
24 Form XXI Register Of Fines Rule 78(1)(a)(ii)25 Form XXII Register Of Advances Rule 78(1)(a)(ii)
26 Form XXIII Register Of Overtime Rule 78(1)(a)(iii)
27 Form XXIVReturn to be sent by the contractor to
the licensing officerRule 82(1)
28 Form XXVAnnual Return Of Principal Employer to
be sent to the Registering OfficerRule 82(2)
Before 15th February
following the end of the
year to which it relates
Registering Officer of
the area in which the
establishment sought to
be registered is located
To be issued by the contractor to the workmen atl
To be sent by the contractor in duplicate to the licensi
days from the close of half ye
To be maintained by the contractor in respect of e
engages contract labour
To be maintained by the contractor in respect of eTo be maintained by the contractor in respect of e
To be maintained by the contractor recording therein
To be issued by the contractor to the workman wh
To be maintained by the contractor in respect of e
To be maintained by the contractor in respect of e
To be maintained by the contractor in respect of e
To be issued by the contractor to each worker within
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Remarks
application to be
accompanied by a DD
showing payment of feesfor registration;
application shall be
personally delivered or
sent by registered post
To be submitted by the
contractor
To be submitted by the
Principal Employer
application to be
accompanied by a DD
showing payment of fees
for registration;
application shall be
personally delivered or
sent by registered post
mployer to the contractor
mployer
registered establishment
ur
BOLITION) ACT, 1970 & ITS CENTRAL RULES, 1971
to the licensing officer of
he Contractor
e licensing Officer
he Contractor
within 30 days before the
rincipal Employer
rincipal Employer
wing particulars of
to the licensing officer of
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east a day prior to the
g officer not later than 30
ar
ach work on which he
ach work on which heach work on which he
the number of hours, and
se services have been
ach work on which he
ach work on which he
ach work on which he
3 days of employment of
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S.N
o
Type &
Nature Of
Document
Description Of the Form Relevant ClauseSchedule Of Submission/
Maintenance
Submitting
Authority
1 Form I Rule 21(4) Register Of Fines Ought to be up to date
2 Form II Rule 21(4)
Register of deductions for damage or loss caused
to the employer, by the neglect or default of theemployed persons
Ought to be up to date
3 Form III Rule 21(4-A) Annual Return By Ist February each year
4 Form IV Rule 25(2) Register Of Overtime Ought to be up to date
5 Form V Rule 26(5) Muster Roll Ought to be up to date
6 Form VI Section 20(2)
7 Form VI- A Section 21(1)
8 Form VII Section 20(2)
Form of application by an Inspector or person
acting with the permission of authority
to be presented within 6 months
from the date of payment ofminimum wages
Authority appointed
under the act.
9 Form VIII Section 20(2)Form in authority in favour of a legal
practitioner/official of a registered trade union
to be presented within 6 months
from the date of payment of
minimum wages
Authority appointed
under the act.
10 Form IX Section 20(3)Form Of Summons to the opponent to appaear
before the authority
11 Form IX-A Rule 22Abstracts of the Minimum Wages Act, 1948 & the
Bihar Minimum wages Rules, 1951
To be displayed at the factory
premises
12 Form X Rule 26(1) Register Of WagesOught to be up to date for every
wage period
13 Form XI Rule 26(2) Wage Slip Ought to be issued every wageperiod
When an application under section 20 is entertained , the
shall hear the applicant & the employer.
MINIMUM WAGES ACT, 1948 & BIHAR MINIMUM WAGES RULES
Form Of Application by an employee regarding any claim preferred by the employee/ inspector/official of
registered trade union/legal practitioner may apply
Form for a single application in respect of any number of employees employed in scheduled employment.
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Remarks
authority
48 & BIHAR MINIMUM WAGES RULES
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S.N
o
Type &
Nature Of
Document
Description Of the FormRelevant
Clause
Schedule Of Submission/
MaintenanceSubmitting Authority Remarks
1 Form A Notice Of Opening Rule 3 (1)Within 30 days from which the rules
become applicable
Concerned controlling authority of
the area
2 Form B Notice Of Change Rule 3 (2)Within 30 days of any change in theparticulars of the establishment like
name, address or nature of business
Concerned controlling authority of
the area
3 Form C Notice Of Closure Rule 3 (3)Atleast 60 days before the intended
closure of the business
Concerned controlling authority of
the area
4 Form DNotice for excluding husband from
familyRule 5 (1)
5 Form ENotice of withdrawal of notice for
excluding husband from familyRule 5 (2)
6 Form F Nomination Rule 6 (1)
7 Form G Fresh Nomination Rule 6 (3)
8 Form H Modification Of Nomination Rule 6 (4)
9 Form IApplication for gratuity by an
employeeRule 7 (1)
10 Form JApplication for gratuity by a
nomineeRule 7 (2)
11 Form KApplication for gratuity by a legal
heirRule 7 (3)
12 Form L Notice for payment of gratuity Rule 8 (1)
To be submitted by the employee to the employer in triplicate. The employer after receipt
forwards a copy to the concerned controlling authority of the area.
To be submitted by the employee withdrawing the notice in form D to the employer in
triplicate. The employer after receipt forwards a copy to the concerned controlling
authority of the area.
PAYMENT OF GRATUITY ACT, 1972 & PAYMENT OF GRATUITY(CENTRAL) RULES, 1972
To be submitted by the employee to the employer in duplicate. The employer within 30days of the receipt of nomination , verify with the service particulars and after attestation
return back a copy to the employee.
To be submitted by the employee within 90 days of acquiring a family to the employer
To be submitted by the employee to the employer , in cases including where a nominee
predeceases an employee
To be submitted by the employee, eligible for payment of gratuity to the employer , within30 days from which the gratuity becomes payable.
To be submitted by the nominee of an employee to the employer within 30 days from the
date of gratuity payable to him/her. For this purpose an application in plain paper may also
be accepted
To be submitted by the legal heir of an employee, eligible for payment of gratuity , to the
employer, within 1 year from the date of gratuity payable to him/her
On verification of claims made for payment of gratuity, the employer , within 15 days of
receipt of an application , issue a notice to the applicant employee , his nominee or legalheir, specifying the amount of gratuity payable and fixing a date of payment not later than
the 30th day of receipt of the application.
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13 Form M Notice rejecting payment of gratuity Rule 8 (1)
14 Form N Application for direction Rule 10 (1)
15 Form ONotice for appearance before the
controlling authorityRule 11 (1)
16 Form P Summons Rule 14
17 Form QParticulars of application under
Section 7Rule 16(1)
18 Form R Notice for payment of Gratuity Rule 17
19 Form SNotice for payment of Gratuity as
determined by appellate authorityRule 18(8)
20 Form T Application for recovery of gratuity Rule 19
21 Form UDisplay of abstract of the act and
rulesRule 20
On receipt of form N , the concerned controlling authority of the area may call upon the
applicant and the employer to appear before him on a specified date, time and place.
On verification of claims made for payment of gratuity, if the claim is found inadmissible,
the employer may issue a notice to the applicant employee, his nominee or legal heir ,
specifying the reasons why the claim is found inadmissible
In cases wherein the employer refuses to accept a claim application or issues a notice
specifying a amount of gratuity which is considered less by the applicant or fails to issue a
notice under rule 8, the claimant employee/ his nominee/ legal heir may within 90 days of
occurrence of cause for application, apply in form N to the concerned controlling authority
of the area for issuing a direction
In situations wherein, the employer fails to pay the gratuity due under the act in
accordance with the notice of the controlling authority , the employee/his nominee/legal
heir may apply to the controlling authority in duplicate for recovery
The employer to display an abstract of the act and rules framed thereunder in English and
a language understood by the majority of employees at a conspicuous place or near the
main entrance of the establishment
The controlling authority may , at any stage of proceedings, issue summons to the
applicant or the employer to produce evidences, documents etc.
The controlling authority to record the particulars of each case in form Q
on subsequent verification of the genuineness of the claims made, the controlling
authority to issue a notice , specifying to the employer , the amount of gratuity payable anddirecting the employer for payment of gratuity within 30 days of receipt of notice.
The controlling authority on receipt of the decision of the appellate authority, modify his
direction for payment of gratuity and issue a notice to the employer, specifying the
modified amount of gratuity and directing payment within 15 days of receipt of notice by
the employer.
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S.N
o
Type & Nature Of
DocumentDescription Of the Form Relevant Clause
Schedule Of Submission/
Maintenance
Submitting
AuthorityRemarks
1 Form 2
Declaration & Form of
nomination for EPF / Pension/
IF to be filled in by the eligibleemployee
33(EPF);18(EPS);10(EDLI)As & when a new entrant joins
the schemeConcerned RPFC
2 Form 3A/ Form 7 (PS)Members' Annual Contribution
Cards35,42,43,44(EPF); 19(EPS)
By 30th April every year for the
year ending 31st MarchConcerned RPFC
3Form 9/Form 3(PS)/ Form
1(IF)
Consolidated return of
employees entitled to become
members of the funds on the
date of application of the
scheme
36(EPF); 20(EPS); 10(EDLI)within 15 days of the
commencement of the schemeConcerned RPFC
4 Form 5 / Form 4(PS)/Form2 (IF)
Return of employees qualifying
for membership under PF,Pension & Insurance Fund for
the first time during the month
36(EPF); 20(EPS); 10(EDLI) within 15 days of the close ofmonth
Concerned RPFC
5 Form 10 / Form 5(PS)
Return of employees leaving
the service of the employer
during the month
36(EPF) ; 20(EPS)within 15 days of the close of
monthConcerned RPFC
6 Form 5-AReturn of ownership in
duplicate36A(EPF); 21(EPS); 1(EDLI)
Immediately on coverage &
within 15 days of making any
change in the establishment
Concerned RPFC
7Form 12-A/ Form 6 (PS)/
Form 4 (IF)
Consolidated Statement Of
Dues and Remittance
38(EPF) ; 20(EPS) ; 10(EDLI)within 20 days of the close of
the month
Concerned RPFC
8 Form 6-A/ Form 8 (PS)Consolidated Annual
Contribution statement43(EPF) ; 20(EPS)
By 30th April every year for the
year ending 31st MarchConcerned RPFC
9 Form 13
Form concerning transfer of
previous accumulation dues
from existing PF
28(EPF) As and when required Concerned RPFC
10 Form 11Details of past employment /
membership of employeeAs and when required Concerned RPFC
11
Challan ( there is one
consolidated challan of
accounts 1,2,10,21 & 22 )
Remittance of PF contribution,
Pension fund, Administration &
Inspection Charges, EDLI & its
admin. Charges
within 15 days of the close of
monthConcerned RPFC
EMPLOYEES' PROVIDENT FUND & MISCELLANEOUS PROVISIONS ACT, 1952 & THE SCHEMES PROVIDEDTHEREUNDER
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12 Form- 10 C
Form to be used by a member
of EPS 1995 for claiming
withdrawal benefit / Scheme
Certificate
As and when required Concerned RPFC
13 Form- 10 D
Form to be used for claiming
superannuation pension,
Retirement pension, Short
Service Pension, Disablement
pension, Widow Pension,Children Pension, Orphan
Pension
As and when required Concerned RPFC
14 Form- 19
Claim form to be used by a
major member of the EPF
scheme
As and when required Concerned RPFC
15 Form- 20
Claim form to be used by a
nominee/ or a legal heir in case
of death of a member of the
EPF scheme
As and when required Concerned RPFC
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S.No
Type &
Nature Of
Document
Description Of the Form Relevant ClauseSchedule Of Submission/
MaintenanceSubmitting Authority
1 Form I Declaration Form Regulation 11 & 12
2 Form I-A Family Declaration Form Regulation 15-A
3 Form I-BChanges in family declaration
form Regulation 15-B
4 Form 3 Return of declaration forms Regulation 14
5 Form 4 Identity Card Regulation 17
6 Form 4-A Family Identity Card Regulation 95-A
7 Form 6 ESIC-Return of Contributions Regulation 26
8 Form 7 Register Of Employees Regulation 32
to be filled in by the employee with his signature or thumb impression and
submit it to the employer
to be filled in by the employee and submitted back to the employer , who shall
forward the same to the appropriate office within 10 days from the date of
submission by the employee
to be submitted by the insured person to the employer within 15 days of such
changes occurring and the employer in turn would forward the same to theappropriate office within 10 days of receipt.
to be sent by the employer to the appropriate office within 10 days of receipt of
the filled up forms
EMPLOYEES STATE INSURANCE ACT, 1948 & EMPLOYEES STATE INSURANCE REGULATIONS, 1950
to be issued by the appropriate office in respect of all insured employees, and
send the same to the employer, who shall issue the same to the concerned
employee after obtaining the signature in the card
to be arranged by the appropriate office and necessary family particulars added
in Form 4
to be sent by the employer in quadruplicatealongwith receipt copies of challans
to the appropriate office within 42 days of termination of related contribution
period; within 21 days of permanent closure of the factory; within 7 days of the
date of receipt of requisition from the appropriate office
to be maintained by the employer in respect of every employee of his factory orestablishment
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9 Form 8 First CertificateRegulation 57 & 89-
B
10 Form 9 Final CertificateRegulation 58 & 89-
B
11 Form 10 Intermediate CertificateRegulation 59 & 89-
B
12 Form 11 Special Intermediate CertificateRegulation 61 & 89-
B
13 Form 12Sickness or Temporary
Disablement BenefitRegulation 63
14 Form 12-A Maternity Benefit for sickness Regulation 89-B
15 Form 13
Sickness or Temporary
Disablement Benefit or Maternity
Benefit for sickness
Regulation 63 & 89-
B
16 Form 13-A Maternity Benefit for sickness Regulation 89-B
17 Form 14
Sickness or Temporary
Disablement Benefit or Maternity
Benefit for sickness
Regulation 63
18 Form 14-A Maternity Benefit for sickness Regulation 89-B
this medical certificate is to be issued by the insurance medical officer during
the first examination in respect of a spell of sickness or a spell of temporary
disablement
to be issued by the insurance meddical officer, when he feels that not later than
3 days of the date of examination(other than a first certificate) the insured
employee would be fit to resume duties
to be submitted by the insured person within 7 days (commencing from the date
of first certificate) in cases wherein the final certificate is not issued within 7
days of issue of first certificate
to be furnished by the insured person in cases wherein the insurance medical
officer feels that temporary disablement has continued for not less than 28 days
and such disablement is likely to continue for a longer period
to be submitted by the insured person desirous of claiming sickness ortemporary disablement benefit to the appropriate local office by post or
otherwise alongwith appropriate medical certificates
to be submitted by every insured woman claiming maternity benefit in case of
sickness arising out of pregnancy, confinement, premature birth of child or
miscarriage to the local appropriate office by post or otherwise
to be submitted by the insured person or insured woman desirous of claiming
sickness or temporary disablement benefit to the appropriate local office by post
or otherwise alongwith appropriate medical certificates
to be submitted by every insured woman claiming maternity benefit in case of
sickness arising out of pregnancy, confinement, premature birth of child or
miscarriage to the local appropriate office by post or otherwise
to be submitted by the insured person or insured woman desirous of claiming
sickness or temporary disablement benefit to the appropriate local office by post
or otherwise alongwith appropriate medical certificates
to be submitted by every insured woman claiming maternity benefit in case of
sickness arising out of pregnancy, confinement, premature birth of child or
miscarriage to the local appropriate office by post or otherwise
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19 Form 15 Accident Book Regulation 66
20 Form 16 Accident Report from Employer Regulation 68
21 Form 17Dependant's benefit - Death
Certificate
Regulations 79 & 95-
C
22 Form 18Dependant's benefit - Claim
FormRegulation 80
23 Form 18-ADependant's Benefit - Claim
Form for periodical PaymentsRegulation 83-A
24 Form 19Maternity Benefit - Notice of
PregnancyRegulation - 87
25 Form 20Maternity Benefit - Certificate of
Pregnancy
Regulation - 87
26 Form 21Maternity Benefit - Certificate of
Expected ConfinementRegulation - 88
27 Form 22 Maternity Benefit - Claim Form Regulation 88 & 89
28 Form 23Maternity Benefit - Certificate of
Confinement or MiscarriageRegulation 88 & 89
To be submitted by the dependant whose claim for dependant's benefit isadmitted, to the local appropriate office except in the case of first and final
payments
To be submitted by an insured woman before confinement to the local
appropriate office
To be submitted by every insured woman claiming maternity benefit before
confinement not earlier than 15 days before the expected date of confinement
To be submitted by every insured woman to the local appropriate officestating
therein the date on which she ceases to work for remuneration and if the
insured woman is claiming maternity benefit for miscarriage the claim form
ought to be submitted within 30 days of the date of miscarriage.
To be submitted by every insured womanwothin 30 days of the date on which
her confinement takes place to the local appropriate office
To be submitted by an insured woman before confinement to the local
appropriate office
To be maintained by the employer in which appropriate particulars of any
accident causing personal injury to an insured person may be entered and
preserved every such book for a period of five years.
to be furnished by the employer to the nearest local office and to the nearest
insurance medical officer immediately if the injury is serious
To be issued free of charge by the Insurance Medical Officer attending the
disabled person at the time of his death
To be submitted by the dependant or dependants concerned or by the legal
representative of the insured member with all supporting documents to the
appropriate local office by post or otherwise
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29 Form 24Maternity Benefit - Notice Of
WorkRegulation 91
30Form 24-A &
24-B
Maternity Benefit after the death
of an insured woman leaving
behind the child / Maternity
Benefit- Death Certificate
Regulation 89-A
31 Form 25Claim for Permanent
Disablement BenefitRegulation 76-A
32 Form 25-A Funeral Expenses Claim Form Regulation 95-E
33 Form 26Certificate for permanent
disablement benefitRegulation 107
34 Form 27Declaration & Certificate for
Dependant's BenefitRegulation 107-A
35 Form 28 Abstention Verification Regulation 52-A
36 Form 28-A Abstention Verification Regulation 52-A
To be furnished by every employer to the appropriate office, such particulars &
information in respect of abstention of an insured woman from work for which
maternity benefit hass been claimed or paid
To be furnished by an insured woman who has claimed maternity benefit, if she
does work for remuneration on any day during the period for which maternity
benefit would be payable to her.
To be submitted by the nominee or legal representative of the insured woman to
the local appropriate office, a claim for maternity benefit within 30 days of the
death of the insured woman, together with a death certificate in 24-B
To be submitted by an insured person declared as permanently disabled by a
Medical Board to the local appropriate office by post or otherwise
To be submitted by the claimant entitled, to the local appropriate office and in
case of a minor, by his guardian and the form ought to be submitted with all
supporting documents
To be submitted by every person whose claim for permanent disablement hasbeen admitted at six monthly intervals, a certificate attested by such authority as
may be specified by the director general
To be submitted by every person whose claim for dependant's benefit has been
admitted at six monthly intervals , duly attested by such authority as may be
specified by the director general
To be furnished by every employer to the appropriate office, such particulars &
information in respect of abstention of an insured person from work for which
sickness benefit or disablement benefit for temporary disablement have beenclaimed or paid
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Remarks
EMPLOYEES STATE INSURANCE REGULATIONS, 1950
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S.N
o
Type & Nature
Of DocumentDescription Of the Form Relevant Clause
Schedule Of Submission/
Maintenance
Submitting
AuthorityRemarks
1 Form ARegister showing the computation of allocable
surplusRule 4(a)
To be maintained by the
employer---
2 Form BRegister showing the set on & set off of the
allocable surplus Rule 4(b)To be maintained by the
employer ---
3 Form C
Register showing the details of amount of bonus
due to each of the employees, the deductions
under section 17 & 18 and the amount actually
disbursed
Rule 4( c )To be maintained by the
employer---
4 Form D
Annual Return stating the amount of bonus paid
to employees for the accounting year ending on
31st March
Rule 5
Within 30 days after the
expiry of time limit specified
for payment of bonus
Inspector
Time limit for the said
purpose is within a
period of eight
months from the
close of accounting
year
PAYMENT OF BONUS ACT, 1965 & PAYMENT OF BONUS RULES, 1975
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S.
No
Type &
Nature Of
Document
Description Of the Form Relevant Clause Schedule Of Submission/ MaintenanceSubmitting
AuthorityRemarks
1 Form A Form Of Individual Application Section 15(2)
Within 12 months from the the date on which
deductions were made or the date on which payment
was due, as the case may be.
Inspector Of
Factories
2 Form B Form Of Group application Section 15(2)
Within 12 months from the the date on which
deductions were made or the date on which payment
was due, as the case may be.
Inspector Of
Factories
3 Form C
Form of application by an inspector or
person permitted by the authority or
authorised to act
Section 15(2) &
Section 16
Within 12 months from the the date on which
deductions were made or the date on which payment
was due, as the case may be.
Inspector Of
Factories
4 Form D Certificate Of Authorisation Section 15(2)
Within 12 months from the the date on which
deductions were made or the date on which payment
was due, as the case may be.
Inspector Of
Factories
5 Form E Notice for disposal of application Section 15(3)
When an application is entertained under section 15(2),
the authority shall hear the applicant & the employerand direct the employer for refund of deductions made
or payment of delayed wages or make no directions if
the application is found to be malafide.
6 Form F Record of order or direction Section 15(3)Record of order of direction to be made by the authority
under the act
7 Form G
Notice to respondent of the day fixed
for the hearing of appeal under section
17 of the act
Section 17
Within 30 days of the date on which order or direction
was made, an appeal could be made by the employer/
employee or his legal practitioner and the judge of the
district court to issue the notice to the respondent of the
day fixed for hearing of appeal.
PAYMENT OF WAGES ACT, 1936 & PAYMENT OF WAGES RULES, 1937
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S.N
o
Type &
Nature Of
Document
Description Of the Form Relevant ClauseSchedule Of Submission/
Maintenance
Submitting
AuthorityRemarks
1 Form 1
Application for permission to construct,
extend or take into use any building as a
factory2 Form 2
Application for registration and grant or
renewal of licence
3 Form 3 Notice of Change of Manager Rule 12-A
4 Form 4 Licence to work a factory Rule 5
5 Form 5 Certificate Of Fitness Rule 14-2(a)
6 Form 6 Humidity Regsiter Rule 24
7 Form 7 Record of Lime Washings, Paintings etc. Rule 15
8 Form 8 Report of examination of pressure vessel
9 Form 9 Register Of Compensatory Holidays Rule 77(4)
10 Form 10 Overtime Muster Roll for exempted workers Rule 78
11 Form 10-A Overtime Slip
12 Form 11Notice Of Periods Of Work for Adult
WorkersRule 79
13 Form 12 Register Of Adult Workers Rule 80
14 Form 12-A Identity Card Of Workers Rule 80-A
15 Form 13 Notice of Periods of work for child workers Rule 85
16 Form 14 Register Of Child Workers Rule 86
17 Form 15 Register Of Leave with wages Rule 87
18 Form 16 Health Register Section 87
To be maintained in respect of child workers employed
To be maintained by the manager of every factory
To be maintained by the manager in respect of dangerous operations
To be exhibited by the Manager of every factory
To be maintained in every factory
To be issued to every worker with the signature of occupier/manager
of the factory
To be exhibited by the Manager of every factory
Temperatures recorded in a Hygrometer to be entered in this register.
To be maintained with the dates on which white washing, colour
washing, varnishing etc. are carried out.
To be maintained by the manager in respect of compensatory
To be maintained by the manager of every factory in which workers
are exempted under Sections 64 or 65
to be made by the occupier and submitted to the Chief Inspector Of
Factories with the signature of the new manager and occupier
appended
To be granted by the Inspector Of Factories after verifying the
correctness of the application. This licence shall remain valid upto
31st december of the year for which it is granted
To be granted by the certifying surgeon to the young persons
employed in a factory
To be submitted to the Chief Inspector Of Factories, duly signed by the Occupier Of the factory
before commencing the manufacturing process
To be submitted by the Occupier/Manager to the Inspector Of Factories of the area concerned
not later than the date on which the license expires
FACTORIES ACT, 1948 & BIHAR FACTORIES RULES, 1950
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19 Form 17-A Notice Of Accident or dangerous occurrence Rule 96Within 12 hours of occurrence of an
accident
20 Form 18 Notice Of Poisoning or disease Rule 97
21 Form 19 Abstract of the Act Rule 99
22 Form 20 Annual Return Rule 100(1)
23 Form 21 Half Yearly Return Rule 100(2)
24 Form 22 Muster Roll Rule 103
25 Form 23 Register Of Accidents Rule 104
26 Form 24 Special Certificate Of Fitness
27 Form 25Certificate Of Fitness for dangerous
operationsRule 96
28 Form 26Register Of Surgeon's fees for the issue of
duplicate certificateRule 14
29 Form 27 Certifying Surgeon's visit Note Rule 14 (9)
30 Form 28 Diary Of Inspector Of Factories
31 Form 29 Closure Report Of a Factory
32 Form 30 Register of Water Sealed Gas Holder Rule 57-A
33 Form 31Report of examination of water sealed gas
holdersRule 57-A
34 Form 32
Register of trained adult male workers
employed to carry out mounting or shifting or
belts, lubrications etc.
Rule 59-A
35 Form 33
Certificate to young persons considered fit
to work at machine, plant or process of
dangerous character
Rule 59-B(2)
36 Form 34 Form Of Certificate Of Stability Rule 3-A
To be handed over by the certifying surgeon or examining surgeon to
the Manager detailing the result of each visit to the factory
To be sent by the manager or occupier of the factory to the chief
Inspector in respect of the manufacturing process carried out.
To be maintained by the manager in respect of examination reports of
the gas holders carried out by the person qualified to carry out the test
To be submitted by the person carrying out the examination in the
form of a report to the manager or the occupier.
To be maintained in every factory carrying therein the name of every
worker who may be employed in performing work specified in section
21
To be maintained by the manager, containing therein the certifcates
issued to young persons.
To be maintained in every factory furnishing complete details in
respect of every accident which may occur
To be granted by the certifying surgeon in respect of persons employed in operations involvinguse of lead compounds
To be granted by the certifying surgeon in respect of persons
employed in dangerous operations
To be maintained by the certifying surgeon or examining surgeon in
respect of fees paid for issue of a duplicate certificate
To be displayed in every factory
To be furnished by the Manager to the Chief Inspector before 15th
January of the year subsequent to which it relates
To be furnished by the Manager to the Chief Inspector before 15th
July of each year
To be maintained by the manager of every factory in respect of
workers employed in the factory
To be sent by the manager of the factory as soons as any worker
contacts any disease specified in the schedule to the Chief Inspector/
Inspector/Medical Inspector/Certifying Surgeon
Factory Inspector; SDO;Officer-
In-Charge of the nearest police
station
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37 Form 35 Record Of Eye Examination Rule 59-C(4)To be sent by the manager/ occupier within 15 days from the date of
examination.
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S.NoType & Nature
Of DocumentDescription Of the Form
Relevant
Clause
Schedule Of Submission/
MaintenanceSubmitting Authority
1 Form A Deposit of compensation for fatal accident Rule 6(1)
To be submitted by the employer as
& when an injury resulting in death
occurs.
The Workmen's
Compensation Commissioner
2 Form AADeposit of compensation for non fatal accident
to a woman or person under legal disabilityRule 6(1)
to be submitted by the employer as
& when an injury occurs.
The Workmen's
Compensation Commissioner
3 Form B Receipt for compensation Rule 6
4 Form C Statement of disbursements Rule 6(3)
5 Form D
Deposit of compensation for non-fatal accidents,
other than to a woman or person under legaldisability
Rule 9 to be submitted by the employer as& when an injury occurs.
The Workmen'sCompensation Commissioner
6 Form E Receipt for compensation Rule 9
7 Form EE Report of fatal accidents Rule 11Within 7 days of death or serious
bodily injury
The Workmen's
Compensation Commissioner
8 Form F Application for compensation by workman Rule 20
9 Form G Application for order to deposit compensation Rule 20
10 Form H Application for commutation Rule 20
11 Form J Notice Rule 39
12 Form JJ Notice Rule 39(3)
13 Form KMemorandum Of Agreement concerning injury
resulting in temporary disablementRule 48
14 Form L
Memorandum Of Agreement concerning injury
resulting in permanent disablement Rule 48
15 Form MMemorandum Of Agreement concerning injury
resulting in temporary disablementRule 48
To be given by the Commissioner to the employer on receipt of
form A or B
To be furnished by the Commissioner to the employer on receipt of
application
To be given by the Commissioner to the employer on receipt of
form D
To be sent by the employer to the commissioner
To be sent by the employer to the commissioner
To be sent by the employer to the commissioner
to be made by the applicant and sent to the commissioner
to be made by the applicant and sent to the commissioner
to be made by the applicant and sent to the commissioner
To be issued by the commissioner to the applicant for
compensation
To be issued by the commissioner to the applicant for
compensation
WORKMEN'S COMPENSATION ACT, 1923 & WORKMEN'S COMPENSATION RULES, 1924
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16 Form N Notice to record memorandum of agreement Rule 49
17 Form O Notice to not record memorandum of agreement Rule 49 & 50
18 Form P Notice of show cause Rule 50
19 Form Q Notice of show cause Rule 50
20 Form R Register Of Agreements Rule 52 To be maintained by the commissioner up to date
To be issued by the commissioner to the parties concerned on
receiving a memorandum of agreement
To be issued by the commissioner to the parties concerned on
receiving a memorandum of agreement , stating reasons for failure
to record the memorandum of agreement
To be issued by the commissioner to the parties stating a date for
hearing the parties and giving them an opportunity to show cause
why the said agreement ought to be registered.To be issued by the commissioner to the parties stating a date for
hearing the parties and giving them an opportunity to show cause
why the said agreement ought to be registered and directing them
to make all representations on the scheduled date
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Remarks
23 & WORKMEN'S COMPENSATION RULES, 1924
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