Form 5

ESI Form 5 is a Return of Contribution form to be submitted half yearly with details of employee wise ESI contribution made on a monthly basis.

To view the ESI Form 5,

Go to Gateway of Tally > Display > Payroll Reports >Statutory Reports > Employee State Insurance>Form 5

Or

Go to Gateway of Tally > Display > Statutory Reports > Payroll Reports >Employee State Insurance>Form 5

The Print Configuration for the ESI Form 5 is displayed as shown:

The printed Form 5 – page 1 is displayed as shown:

Column Details in table

Column Name

Description

Sl. No.

Displays the serial no.

Month

Displays the Month name for which the ESI payment is made.

Challan Dates

Displays the Challan dates for the ESI payments.

Amount

Displays the Challan amount for ESI Payments.

Name of the Bank and Branch

Displays the name of the bank and branch code as specified in the Challan details screen.

Place: The Name of the place as specified in the Print Configuration screen is displayed in this field.

Date: The Date of Printing as specified in the Print Configuration screen is displayed in this field.

Designation: The Designation of the signing authority is displayed in this field.

The printed Form 5 – page 2 is displayed as shown:

The Page 2 contains the required instructions and CA Form.

Column 2: Insurance number (ESI number) assigned to each employee as entered in the Employee Master is displayed in this column.

Column 3: The name of Insured person (Employee) appears is displayed in this column.

Column 4: The total number of days for which the wages/salary is paid during the selected period to each employee is displayed in this column.

Column 5: The amount of wages (regular income considered for ESI calculation) for the selected period is displayed in this column for each employee.

Column 6: The Employee’s contribution towards ESI during the given period for each employee is printed in this column.

Column 7: The average daily wages calculated based on the total wages divided by the number of working days, is printed in this column.

Column 7(A): Shows whether the employee is still working with the company and still eligible for the ESI benefits,

Column 8: Name of the ESI dispensary as entered in the Employee Master to which the each employee is associated is printed in this column.

Column 9: The remarks needs to be entered manually in this column.

Column Details in table

Column Name

Description

Sl. No.

Displays the serial no.

Insurance No.

Displays the ESI number for each employee as entered in the Employee Master.

Name of the Insured Person

Displays the name of the Employees who are eligible for ESI.

No. of days for which wages paid/payable

Displays total number of working days for which wages (salary) is paid/payable during the Contribution period for each employee.

Total amount of  wages paid/payable

Displays total wages (salary) paid/payable for the given Contribution period for each employee.

Employees' contribution deducted

Displays the Employee share of ESI contribution for the given contribution period each employee.

Average Daily wages 5/4

Displays average daily wages the amount of ESI contribution for the selected Contribution period for each employee.

Whether still continue working and drawing wages within the insurable wages ceiling

Displays the status as Yes or No showing whether the employee is still working with the company and still eligible for the ESI benefits based on Gross wages drawn during the last month of Contribution period.

Name of the Dispensary of IP.

Displays the name of the ESI dispensary as entered in the Employee Master to which the each employee is associated.

Remarks

Remarks if any should be entered in this column manually.

 

Note: Facility is provided to print only the duplicate copies of ESI Form 3, Form 5 and Challan.