1.

2.

Smart card can be used broadly -
a.    To avail medical treatment at any ESI Hospital / Dispensary across the country
b.    To claim and draw cash benefits at any ESI Branch Office across the country 
c.    To have an interface with any ESI institution

3.

When will the smart card be issued?

Smart Card will be issued after necessary registration and collection of biometric details of the insured persons and their eligible family members through smart card camps, to be organized at convenient locations in and around Coimbatore.

4.

Why a fresh declaration form and why not declaration already submitted?

Since data available in old declarations may be outdated / obsolete / stale, they will not be foolproof.  Submission of data in fresh declaration form is hence a must  to collect current data.  (This is in interest of the registering beneficiaries).

5.

Where can I get the declaration form?

A specimen declaration form is being made available to each employer who can take sufficient number of copies.  It can also be downloaded from the website www.esicoimbatore.org.

6.

Should the declaration form to be submitted, be of any specific size?

Yes, in A4 size.  (No alteration in size / content is permitted).

7.

How the form should be filled?

Declaration form in A4 size, has to be filled-in, in a legible manner, without any overwriting, so that, it can be processed easily.

8.

Is it mandatory to fill all columns?

Yes. No columns should be left blank

9.

Can I affix thumb impression in declaration form for smart card?

Yes, in case of inability to sign

10.

Can I affix employer seal in the declaration form in the address box?