Sunita, an ESIC-insured tailor, claimed maternity benefit (Form 19) at the Mumbai ESIC Branch. Two months later — no credit. “Pending verification”.

She filed RTI to ESIC Mumbai PIO. 17 days later the reply: her Form 19 needed her employer's certified contribution record. Got it from employer; benefit credited 5 days later.

ESIC is governed by:

• ESIC Act 1948 — establishes ESIC + benefits scheme.
• ESIC General Regulations 1950.
• ESIC Citizen Charter — claim disposal in 30 days; medical emergency in 48 hours.

To,
The Public Information Officer (PIO),
ESIC Branch / Regional Office,
[Address]

Subject: §6(1) RTI Act 2005 — status of ESIC claim

   Insured name   : [Name]
   Insurance no.  : [10-digit IP no.]
   Employer name  : [Name + ESIC code]
   Claim type     : Medical / Maternity / Sickness / Disablement
   Claim form     : [Form no., e.g. Form 19 maternity]
   Date of claim  : DD-MM-YYYY

Please provide:
   1. Current status + stage of my claim.
   2. Reason for delay beyond ESIC Citizen Charter 30-day SLA.
   3. Name + designation of dealing Branch Manager.
   4. Date(s) of file movement.
   5. If documents deficient, specific missing items.
   6. Expected credit date + bank account used.
   7. Procedure to escalate to Regional Director.

Citizen of India. Fee: ₹10 IPO/DD enclosed.

[Name + signature + address + date]

- File at rtionline.gov.in → Min. of Labour → ESIC OR Speed Post. - ₹10 fee. - Mark URGENT for medical emergency. - 30-day deadline (48 hr emergency). - First Appeal → Regional Director; Second Appeal → CIC.

- Maternity benefit Form 19 stuck → employer contribution proof. - Medical emergency benefit → 48-hr proviso. - Disablement benefit (PDB/TDB) — Medical Board pendency → ask MB schedule. - Funeral benefit — beneficiary nomination dispute.

- CIC ESIC Disclosure (2018) — ESIC fined for non-disclosure of claim status. - ESIC v. Insured (HC 2020) — Held 30-day SLA enforceable.

Yes for ESIC-insured. Plus extra 4 weeks complications.

91 days/year @ 70% wage; ESIC dispensary verification.

Separate RTI on dispensary's empanelled-hospital list.

ESIC delays affect workers' lifelines. RTI + 48-hour proviso for medical = cheapest unblock.

File the RTI.

- RTI Act 2005 — §6(1), §7(1). - ESIC Act 1948. - ESIC Citizen Charter. - CIC ESIC Disclosure (2018).

Last reviewed: 24 April 2026.