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Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme 2011
Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme 2011
Sections
1. Short title, extent & commencement.
Section 12. Definitions.
Section 26. Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme.
Section 67. Procedure to avail the benefits under the Scheme.
Section 78. Disposal of the applications in death and disability cases.
Section 812. Disposal of the applications for grant of scholarship to the children.
Section 1216. Disposal of the applications for medical assistance in the cases of injury and incurable diseases.
Section 1622. Appeal.
Section 2223. Transparency in disposal of cases.
Section 2326. Nodal Authority.
Section 2627. General.
Section 2731. Amendment and Repeal.
Section 314. Name and Designation of Authority issuing Death Certificate / Post Mortem Report (if applicable)
Section 45. Details of Claimants: The dependent(s) of the deceased is/are as follows
Section 56. Documents Enclosed: The following documents have been attached with this application-
Section 61. Name & Address
Section 12. Statement of Accident:
Section 23. Statement of Disability:
Section 34. Name and Designation of the Authority issuing Disability Certificate:
Section 45. Documents Enclosed: The following documents in respect of the claimant have been attached with this application-
Section 51. Name & Address
Section 11. Name _________________________
Section 12. Father/Mothers Name & Age______________
Section 23. Father/Mothers Complete Address______________________
Section 34. Occupation of Father/Mother________________________
Section 45. Name of brothers/Sisters, if any, getting scholarship under this scheme____________________
Section 56. Following documents are enclosed with this application
Section 62. Statement of Accident/hospitalization:
Section 23. Certificate of the attending physician/surgeon:
Section 34. Documents Enclosed: The following documents have been attached with this application-
Section 41. Name & Address
Section 12. Statement of Incurable Disease:
Section 24. Name and Address of the treating hospital/doctor (if applicable)
Section 45. Documents Enclosed: The following documents have been attached with this application-
Section 51. Name & Address
Section 1
bihar-shatabdi-unorganized-sector-workers-and-artisans-social-security-scheme-2011.json
•
35 Sections
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Bihar
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"id": 15480,
"slug": "bihar-shatabdi-unorganized-sector-workers-and-artisans-social-security-scheme-2011",
"title": "Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme 2011",
"short_title": "Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme 2011",
"act_number": "Published vide Notification No. S.O. 88, dated 30t",
"act_year": 2011,
"act_type": "STATE",
"location": "Bihar",
"law_status": "unknown",
"enactment_date": null,
"description": "Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme 2011",
"preamble": "",
"section_label": "Section",
"sections": [
{
"number": "1",
"title": "1. Short title, extent & commencement.",
"chapter": null,
"content": "",
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{
"number": "2",
"title": "2. Definitions.",
"chapter": null,
"content": "(a) \"Accident\" means accident caused by external violence which is apparent in nature and shall include\nTrain or road accident, electric shock, snake-bite, drowning, fire burn, falling from tree or building, attack by wild animals, terrorist or criminal attack etc. However, this list is illustrative and not exhaustive:\n(b) \"Accidental death\" means death caused by an accident:\n(c) \"Artisan\" means a self employed domicile of the State who works in the State and earns his livelihood from avocations like black smithy(Lohargiri), basket making, bullock/ cycle/ hand cart pulling, carpentry(Badhaigiri), cattle rearing, cattle grazing, cloth dyeing (Rangrezgiri), cycle rickshaw pulling, doll making, earthen pot making (kumhargiri), embroidery, fishing and boat driving (Mallahgiri), hair dressing, handicraft, idol making, madari show, auto rickshaw driving, rope making, shoe making/repairing, sheep/goat rearing, sewing, stitching (Rafoogar), stone cutting, street hawking, street vendors, utensil making (Thathera), vegetable and fruit vendors, weaving and any other avocation of like nature. However, this list is illustrative and not exhaustive;\n(d) \"Block Development Officer\" means Development Officer of the Blocks appointed by the State Government;\n(e) \"Circle Officer\" means Circle Officer of the Circles (Anchals) appointed by the State Government;\n(f) \"Dependent\" means widow of the deceased and husband in case of female persons, dependent son, unmarried daughter and parents; in case of deceased unmarried persons, father and mother jointly;\nNote. - The grant on account of death shall be distributed among all dependents in equal proportion.\nNote.\n(g) \"District Magistrate\" means District Magistrate and Collector of the district appointed by the State Government. This will also include the Additional Collector and/or Additional District Magistrate and senior Deputy Collector posted in the district and specially empowered by the District Magistrate to carry out all or any function assigned to him under this scheme;\n(h) \"Incurable disease\" means any of the diseases mentioned in the schedule I of this scheme;\n(i) \"Labour Superintendent\" means Labour Superintendent in charge of a district appointed by the State Government;\n(j) \"Natural Death\" means death caused by natural causes and not by any accident;\n(k) \"Permanent Partial Disability\" means loss of one eye or one limb due to an accident and includes cases of paralysis of one limb caused due to accident or otherwise;\n(l) \"Permanent Total Disability\" means loss of two eyes or two limbs or loss of one eye and one limb due to an accident and includes cases of paralysis of two limbs or brain caused due to accident or otherwise;\n(m) \"Scheme\" means Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme 2011;\n(n) \"Society\" means the Bihar State Labour Welfare Society established by the State Government by this name and its successor;\n(o) \"State Government\" means the Government of Bihar;\n(p) \"Unorganized Sector\" means the employments included in the list of scheduled employments under the Minimum Wages Act, 1948;\n(q) \"Worker\" means a domicile of the State of Bihar working for wages in the unorganized sector in the State;\n3.\n4.\n5.",
"footnote": "",
"is_definition": true,
"sort_order": 1
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{
"number": "6",
"title": "6. Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme.",
"chapter": null,
"content": "(1) In case of accidental death of a worker or artisan, a grant of Rs. 1 (One) lakh shall be paid to his legal dependent (s).\n(2) In case of natural death of a worker or artisan, a grant of Rs. 30,000 (thirty thousand rupees) shall be paid to his legal dependent (s).\n(3) In case of permanent total disability of a worker or artisan, a grant of Rs. 75,000 (seventy five thousands rupees) shall be paid to him.\n(4) In case of permanent partial disability of a worker or artisan, a grant of Rs. 37,500 (thirty seven thousands five hundred rupees) shall be paid to him.\n(5) An amount @ Rs 100 (one hundred rupees) per month, in one yearly installment of Rs 1200/ for 12 months, shall be paid as scholarship to the maximum of two children of a worker or artisan studying in classes 9th to 12th , Government Polytechnics and long term trades in Government Industrial Training Institutes in the State of Bihar. However, if the child fails in an examination, the financial assistance shall not be paid next year to him.\n(6) In case a worker or artisan suffers injury in an accident causing his hospitalization for a minimum period of five days, he shall be paid a medical assistance of Rs 5000 to take care of his medical and other related expenses.\n(7) A worker or artisan suffering from incurable diseases prescribed in schedule I of this scheme shall be paid medical assistance to take care of his medical and related expenses at the rates prescribed in the said schedule. However, such medical assistance shall be independent of any other assistance which he may receive under any other scheme framed by the State or Central Government.\n(8) The payments under the scheme shall be made by way of crossed cheque/ demand draft.",
"footnote": "",
"is_definition": false,
"sort_order": 2
},
{
"number": "7",
"title": "7. Procedure to avail the benefits under the Scheme.",
"chapter": null,
"content": "Death Cases.\n(b) In case of non- availability of Form, application may be given on plain paper with all necessary documents.\n(c)The following documents shall be attached with the aforesaid application:\n(i) Residential Certificate of the deceased\n(ii) Dependent(s) Certificate issued by the circle officer\n(iii) Death Certificate issued by competent authority (In case of accidental death, a certificate issued by a doctor not below the rank of a Government Medical Officer shall be required)\n(iv) A copy of the information given in the police station regarding the accident/ Certificate of Mukhiya/Ward Council or regarding the accident if informing police station was not required under law\n(v) Death Certificate or Inquest report or panchnama, as the case may be (in case of accidental death only)\n(vi) Proof of age of the deceased\n(vii) Certificate issued by the concerned Mukhiya/ Ward member of the panchayat/Member of the Panchayat Samitee or the concerned Ward Council or in the urban area, as the case may be, specifying the nature of work, the deceased was engaged in.\n(2) Disability Cases.\n(b) In case of non- availability of Form-2, application may be given on plain paper with all necessary documents.\n(c) The following documents shall be attached with the aforesaid application:\n(i) Residential certificate\n(ii) Proof of Age\n(iii) A photograph of the applicant showing his disability condition\n(iv) A copy of the information given in the police station regarding the accident or Certificate of Mukhiya/Ward Council or regarding the accident if informing police station was not required under law\n(v) Disability Certificate issued by competent authority (a certificate issued by a Government orthopedic surgeon shall be required)\n(vi) Certificate issued by the Mukhiya/ Ward member of the panchayat/Member of the panchayat samitee/Ward Council or in case of urban area specifying the nature of work the applicant is/ was engaged in.\n(3) Scholarship to the Children.\n(b) In case of non- availability of Form-3, application may be given on plain paper with all necessary documents.\n(c)The Head Master of the High School / Principal of the Intermediate College or the Industrial Training Institute/Polytechnic shall, after checking that the application is in order, forward and recommend the claim to the Executive Director, Bihar State Labour Welfare Society, Patna.\n(d) The following documents shall be attached with the aforesaid application:-\n(i) Proof of age of the parent who is a worker or artisan\n(ii) Residential certificate of the parent\n(iii) Certificate issued by the concerned Mukhiya/ Ward member of the panchayat/Member of the panchayat samitee or the concerned Ward Council or, as the case may be, specifying the nature of work the parent of the applicant is engaged in.\n(iv) Photograph of the parent attested by the concerned Mukhiya/ Ward member of the panchayat/Member of the panchayat samitee or the concerned Ward Council or, as the case may be.\n(v) Photograph of the student attested by the Head of the Institution\n(4) Medical Assistance in case of hospitalization after injury.\n(b) In case of non- availability of Form, application may be given on plain paper with all necessary documents.\n(c)The following documents shall be attached with the aforesaid application:\n(i) Residential Certificate\n(ii) Certificate of hospitalization\n(iii) Copy of the information given in the police station regarding the accident or Certificate of Mukhiya/Ward Council or in case of urban area, as the case may be, regarding the accident if informing police station was not required under law\n(iv) Proof of age\n(v) Certificate issued by the Mukhiya/ Ward Member of the panchayat/Member of the panchayat samitee or the concerned Ward Council or in the urban area, as the case may be, specifying the nature of work the applicant was engaged in.\n(vi) A self attested photograph of the person showing his injury and hospitalization\n(5) Medical Assistance in case of incurable diseases.\n(b) In case of non- availability of Form, application may be given on plain paper with all necessary documents.\n(c)The following documents shall be attached with the aforesaid application:\n(i) Residential Certificate\n(ii) Certificate of the treating medical attendant/hospital regarding the nature of applicants disease\n(iii) Proof of age\n(iv) Certificate issued by the Mukhiya/ Ward Member of the panchayat/Member of the panchayat samitee or the concerned Ward Council or in the urban area, as the case may be, specifying the nature of work the applicant is/was engaged in.\n(v) A self attested photograph",
"footnote": "",
"is_definition": false,
"sort_order": 3
},
{
"number": "8",
"title": "8. Disposal of the applications in death and disability cases.",
"chapter": null,
"content": "9.\n10.\n11.",
"footnote": "",
"is_definition": false,
"sort_order": 4
},
{
"number": "12",
"title": "12. Disposal of the applications for grant of scholarship to the children.",
"chapter": null,
"content": "13.\n14.\n15.",
"footnote": "",
"is_definition": false,
"sort_order": 5
},
{
"number": "16",
"title": "16. Disposal of the applications for medical assistance in the cases of injury and incurable diseases.",
"chapter": null,
"content": "17.\n18.\n19.\n20.\n21.",
"footnote": "",
"is_definition": false,
"sort_order": 6
},
{
"number": "22",
"title": "22. Appeal.",
"chapter": null,
"content": "",
"footnote": "",
"is_definition": false,
"sort_order": 7
},
{
"number": "23",
"title": "23. Transparency in disposal of cases.",
"chapter": null,
"content": "24.\n25.",
"footnote": "",
"is_definition": false,
"sort_order": 8
},
{
"number": "26",
"title": "26. Nodal Authority.",
"chapter": null,
"content": "",
"footnote": "",
"is_definition": false,
"sort_order": 9
},
{
"number": "27",
"title": "27. General.",
"chapter": null,
"content": "28.\n29.Removal of Difficulties.\n30.",
"footnote": "",
"is_definition": false,
"sort_order": 10
},
{
"number": "31",
"title": "31. Amendment and Repeal.",
"chapter": null,
"content": "Schedule I\nList of Incurable Diseases and Rate of Medical\n\t\t\t\tAssistance\nList of Incurable Diseases and Rate of Medical\n\t\t\t\tAssistance\nS.No.\nS.No.\nName of disease\nName of disease\nNature of Treatment\nNature of Treatment\nAmount of Medical Assistance (Rs)\nAmount of Medical Assistance (Rs)\n1.\nCancer\nSurgical (with surgery)\n25000\nNon Surgical (without surgery)\n15000\n2.\nHeart diseases\nD.V.R.(Double Valve Replacement\n30000\nM.V.R. (Mitral Valve Replacement)\n25000\nPace Maker\n25000\nStenosis/Baloon Valvotomy\n15000\nCABG(Coronary Artery Bypass Grapht)\n25000\nPTCA Percutaneours Transluminous Coronary Angio\n\t\t\t\tPlasty\n25000\nASD (Atrial Septal Defects)/V.S.D.\n15000\n3\nRenal(Kidney) Disease\nSurgical (with surgery)\n30000\n4\nBrain Tumors\nMinor Surgery\n10000\nMajor Surgery\n20000\n5\nAIDS\nAs decided by the medical attendant\n25000\n6\nTotal Hip or Knee Replacement\nSurgery\n10000\n7\nMajor Vascular Surgery\nSurgery\n10000\n8\nBone Marrow Transplantation\nSurgery\n10000\n9\nSpinal surgery\nSurgery\n7500\nGovernment of Bihar\nGovernment of Bihar\nDepartment of Labour Resources\nDepartment of Labour Resources\nForm-1\nForm-1\nClaim Form for receipt of grant in the cases of Natural Death/Accidental Death under Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme, 2011\nClaim Form for receipt of grant in the cases of Natural Death/Accidental Death under Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme, 2011\n(To be submitted in Triplicate to B.D.O/ Labour Superintendent/ District Magistrate*)\n1. (a) Name of deceased___________________\n(b) Age__________________________\n(c)Place of work______________________\n(d) Nature of work_________________________\n(e) Address- Village/Mohalla________________\nPanchayat/Ward ________________ PO_________________\nP.S ________________ Anchal/Block ____________________\nDistrict __________________\n#2. Statement of Accidental Death:\n(a) Date of Accident ____________________\n(b) Time __________ A.M./P.M.\n(c) Place _____________\n(d) Details of Accident._____________________________________\n(f) Date of Death & Time ___________________________________\n#3. Statement of Natural death:\n(a) Date ____________________\n(b) Time __________ A.M./P.M.\n(c) Place _____________\n(d) Cause of death____________\n(f) Date of Death & Time ____________",
"footnote": "",
"is_definition": false,
"sort_order": 11
},
{
"number": "4",
"title": "4. Name and Designation of Authority issuing Death Certificate / Post Mortem Report (if applicable)",
"chapter": null,
"content": "",
"footnote": "",
"is_definition": false,
"sort_order": 12
},
{
"number": "5",
"title": "5. Details of Claimants: The dependent(s) of the deceased is/are as follows",
"chapter": null,
"content": "(i) Name ______________Address _________________\nRelation with the deceased______________________\n(ii)Name________________ Address ___________________\nRelation with deceased _________________________\n(iii)Name_______________ Address__________________\nRelation with deceased______________________\n_____________________________________________________________\n______________________________________________________________",
"footnote": "",
"is_definition": false,
"sort_order": 13
},
{
"number": "6",
"title": "6. Documents Enclosed: The following documents have been attached with this application-",
"chapter": null,
"content": "(i) Dependent(s) Certificate issued by Circle Officer ( Anchal Adhikari)\n(ii) A copy of the information given in the police station regarding the accident/ Certificate of Mukhiya/Ward Council or regarding the accident if informing police station was not required under law\n(iii) Death Certificate or Inquest report or panchnama, as the case may be (in case of accidental death only)\n(iv) Residential certificate of the deceased\n(v) Proof of Age of the deceased\n(v) Certificate issued by the Mukhiya/ Ward member of the panchayat/Member of the panchayat samitee/Ward Council or in case of urban area specifying the nature of work the deceased was engaged in.\nWitnesses",
"footnote": "",
"is_definition": false,
"sort_order": 14
},
{
"number": "1",
"title": "1. Name & Address",
"chapter": null,
"content": "1-\n(a)\n2-\n(b)\n3-\n------\n------\nSignature of Claimant(s)\nOffice of the Block Development Officer______\nOffice of the Block Development Officer______\nDistrict_________________\nDistrict_________________\nEnquiry Report\nEnquiry Report\n(a) Genuineness of the dependent(s):\n(b) Opinion regarding cause of death:\n(c) Whether the deceased was a worker engaged in unorganized sector/artisan as defined under the rules? Yes/No\n(e) If yes, what kind of work he was engaged in?\n(f) Age of the deceased\nSignature of B.D.O\nSeal\nSignature of District Magistrate\n(Seal)\nSignature and seal of the authorized signatory\nGovernment of Bihar\nGovernment of Bihar\nDepartment of Labour Resources\nDepartment of Labour Resources\nForm-2\nForm-2\nClaim Form for receipt of grant in the cases of Total permanent/partial disability under Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme, 2011\nClaim Form for receipt of grant in the cases of Total permanent/partial disability under Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme, 2011\n(To be submitted in Triplicate to B.D.O/ Labour Superintendent/ District Magistrate*)\n(To be submitted in Triplicate to B.D.O/ Labour Superintendent/ District Magistrate*)\n1. (a) Name of the claimant___________________\n(b) Age__________________________\n(c)Place of work______________________\n(d) Nature of work_________________________\n(e) Address- Village/Mohalla Panchayat/Ward ________________ PO_________________",
"footnote": "",
"is_definition": false,
"sort_order": 15
},
{
"number": "2",
"title": "2. Statement of Accident:",
"chapter": null,
"content": "(a) Date of Accident ____________________\n(b) Time __________ A.M./P.M.\n(c) Place _____________\n(d) Details of Accident._____________________________________",
"footnote": "",
"is_definition": false,
"sort_order": 16
},
{
"number": "3",
"title": "3. Statement of Disability:",
"chapter": null,
"content": "(a) Details of disability ____________________\n(b) Type of disability: Total permanent/partial disability",
"footnote": "",
"is_definition": false,
"sort_order": 17
},
{
"number": "4",
"title": "4. Name and Designation of the Authority issuing Disability Certificate:",
"chapter": null,
"content": "",
"footnote": "",
"is_definition": false,
"sort_order": 18
},
{
"number": "5",
"title": "5. Documents Enclosed: The following documents in respect of the claimant have been attached with this application-",
"chapter": null,
"content": "(i) Residential certificate\n(ii) Proof of Age\n(iii) A photograph of the applicant showing his disability condition\n(iv) A copy of the information given in the police station regarding the accident/ Certificate of Mukhiya/Ward Council or regarding the accident if informing police station was not required under law\n(v) Disability Certificate issued by competent authority (a certificate issued by a Government orthopedic surgeon shall be required)\n(vi) Certificate issued by the Mukhiya/ Ward member of the panchayat/Member of the panchayat samitee/Ward Council or in case of urban area specifying the nature of work the applicant is/ was engaged in.",
"footnote": "",
"is_definition": false,
"sort_order": 19
},
{
"number": "1",
"title": "1. Name & Address",
"chapter": null,
"content": "(a)\n(b)\nSignature of the Claimant\n*One copy with acknowledgement shall be returned to the applicant\nOffice of the Block Development Officer_______\nOffice of the Block Development Officer_______\nDistrict_________________\nDistrict_________________\nEnquiry Report\nEnquiry Report\n(a) Genuineness of the claimant: ______________________\n(b) Opinion regarding cause of disability: ____________________\n(c) Opinion about type of disability: Total permanent disability/partial disability\n(d) Whether the claimant is/was an unorganized sector worker /artisan? Yes/No\n(e) If yes, what is the nature of his work ?______________________\n(f) Age of the claimant________________________\n_____________________________________________________________\n_______________________________________________________________\nSignature of B.D.O\n(Seal)\nOffice of the District Magistrate__________\nOffice of the District Magistrate__________\nLabour Superintendent/\nAssistant Labour Commissioner\nor\nan officer authorised by the District Magistrate\nSignature of District Magistrate\n(Seal)\nSignature and seal of the authorized signatory\nGovernment of Bihar\nGovernment of Bihar\nDepartment of Labour Resources\nDepartment of Labour Resources\nForm-3\nForm-3\nForm for receipt of scholarship under Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme, 2011\nForm for receipt of scholarship under Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme, 2011\n(To be submitted in Triplicate to Head Master/Principal of the High School/Intermediate College/ Government ITI/ Government Polytechnics*)",
"footnote": "",
"is_definition": false,
"sort_order": 20
},
{
"number": "1",
"title": "1. Name _________________________",
"chapter": null,
"content": "",
"footnote": "",
"is_definition": false,
"sort_order": 21
},
{
"number": "2",
"title": "2. Father/Mothers Name & Age______________",
"chapter": null,
"content": "",
"footnote": "",
"is_definition": false,
"sort_order": 22
},
{
"number": "3",
"title": "3. Father/Mothers Complete Address______________________",
"chapter": null,
"content": "",
"footnote": "",
"is_definition": false,
"sort_order": 23
},
{
"number": "4",
"title": "4. Occupation of Father/Mother________________________",
"chapter": null,
"content": "",
"footnote": "",
"is_definition": false,
"sort_order": 24
},
{
"number": "5",
"title": "5. Name of brothers/Sisters, if any, getting scholarship under this scheme____________________",
"chapter": null,
"content": "",
"footnote": "",
"is_definition": false,
"sort_order": 25
},
{
"number": "6",
"title": "6. Following documents are enclosed with this application",
"chapter": null,
"content": "i. Residence Certificate of Father/Mother\nii. Affidavit regarding number of brothers and sisters of the applicant and whether they are getting scholarship under the scheme\n______________________________________________________\niii. Certificate issued by Mukhiya/Panchayat Ward Member/ Member Panchayat Samity/Ward Council or in case of urban areas specifying the nature of work the father/mother of the applicant is engaged in.\niv. Photograph of the father/mother attested by the concerned Mukhiya/ Ward member of the panchayat/Member of the panchayat samitee or the concerned Ward Council or, as the case may be.\nv. Photograph of the applicant attested by the Head of the Institution.\nSignature of the applicant\nOffice of the Head Master/Principal of High School/Intermediate College/Industrial Training Institute/Polytechnic ______________District_____\nOffice of the Head Master/Principal of High School/Intermediate College/Industrial Training Institute/Polytechnic ______________District_____\nName and signature of the Head Master/Principal\nSeal of the Institution\n*One copy of the application shall be returned to the applicant after acknowledging.\nGovernment of Bihar\nGovernment of Bihar\nDepartment of Labour Resources\nDepartment of Labour Resources\nOffice of the Bihar State Labour Welfare Society Patna, Bihar\nOffice of the Bihar State Labour Welfare Society Patna, Bihar\nName and signature of the sanctioning authority\n( )\nName and signature of Accountant/Accounts Officer\n( )\nOffice of the Head Master/Principal of High School/Intermediate College/Industrial Training Institute_______________\nOffice of the Head Master/Principal of High School/Intermediate College/Industrial Training Institute_______________\nForm-4\nForm-4\nUtilization Certificate regarding payment of scholarship under Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme, 2011\nUtilization Certificate regarding payment of scholarship under Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme, 2011\nName and signature of the Head Master/Principal\n( )\nSeal\nGovernment of Bihar Department of Labour Resources\nGovernment of Bihar Department of Labour Resources\nForm-5\nForm-5\nApplication for Medical Assistance in the cases of hospitalization after injury under Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme, 2011\nApplication for Medical Assistance in the cases of hospitalization after injury under Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme, 2011\n(To be submitted in triplicate to Labour Superintendent/ District Magistrate*)\n(To be submitted in triplicate to Labour Superintendent/ District Magistrate*)\n1. (a) Name of the claimant___________________\n(b) Age__________________________\n(c)Place of work______________________\n(d) Nature of work_________________________\n(e) Address- Village/Mohalla PO ________________ Panchayat/Ward_________________\nP.S ________________ Anchal/Block ____________________\nDistrict __________________",
"footnote": "",
"is_definition": false,
"sort_order": 26
},
{
"number": "2",
"title": "2. Statement of Accident/hospitalization:",
"chapter": null,
"content": "(a) Date of Accident ____________________\n(b) Time __________ A.M./P.M.\n(c) Place _____________\n(d) Details of Accident._____________________________________\n(e) Name and full address of the hospital where admitted for treatment ________________________________________________________\n(e) Date of admission in the hospital___________________________\n(f) Date of discharge from the hospital_________________________\n(g) Total period of hospitalization_____________________________\n________________________________________________________",
"footnote": "",
"is_definition": false,
"sort_order": 27
},
{
"number": "3",
"title": "3. Certificate of the attending physician/surgeon:",
"chapter": null,
"content": "",
"footnote": "",
"is_definition": false,
"sort_order": 28
},
{
"number": "4",
"title": "4. Documents Enclosed: The following documents have been attached with this application-",
"chapter": null,
"content": "(i) Residential Certificate\n(ii) Discharge certificate issued by the hospital\n(iii) Copy of the information given in the police station regarding the accident or Certificate of Mukhiya/ward member of the panchayat/ward commissioner in case of urban area, as the case may be, regarding the accident if informing police station was not required under law\n(iv) Proof of age\n(v) Certificate issued by the Mukhiya/ Ward Member of the panchayat/Member of the panchayat samitee or the concerned Ward Commissioner in the urban area, as the case may be, specifying the nature of work the applicant is/ was engaged in.\n(vi) A self attested photograph of person showing his injury and hospitalization",
"footnote": "",
"is_definition": false,
"sort_order": 29
},
{
"number": "1",
"title": "1. Name & Address",
"chapter": null,
"content": "(a)\n(b)\nSignature of Claimant\n*One copy with acknowledgement shall be returned to the applicant\nOffice of the District Magistrate__________\nOffice of the District Magistrate__________\nLabour Superintendent/\nAssistant Labour Commissioner\nor\nan officer authorised by the District Magistrate\nSignature of District Magistrate\n(Seal)\nSignature and seal of the authorized signatory\nGovernment of Bihar\nGovernment of Bihar\nDepartment of Labour Resources\nDepartment of Labour Resources\nForm-6\nForm-6\nApplication for Medical Assistance in the cases of Incurable Diseases under Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme, 2011\nApplication for Medical Assistance in the cases of Incurable Diseases under Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme, 2011\n(To be submitted in triplicate to Labour Superintendent/ District Magistrate*)\n(To be submitted in triplicate to Labour Superintendent/ District Magistrate*)\n1. (a) Name of the claimant___________________\n(b) Age__________________________\n(c)Place of work______________________\n(d) Nature of work_________________________\n(e) Address- Village/Mohalla PO ________________ Panchayat/Ward_________________\nP.S ________________ Anchal/Block ____________________\nDistrict __________________",
"footnote": "",
"is_definition": false,
"sort_order": 30
},
{
"number": "2",
"title": "2. Statement of Incurable Disease:",
"chapter": null,
"content": "",
"footnote": "",
"is_definition": false,
"sort_order": 31
},
{
"number": "4",
"title": "4. Name and Address of the treating hospital/doctor (if applicable)",
"chapter": null,
"content": "",
"footnote": "",
"is_definition": false,
"sort_order": 32
},
{
"number": "5",
"title": "5. Documents Enclosed: The following documents have been attached with this application-",
"chapter": null,
"content": "(i) Residential Certificate\n(ii) Certificate of the treating medical attendant/hospital regarding the nature of applicants disease\n(iii) Proof of age\n(iv) Certificate issued by the Mukhiya/ Ward Member of the panchayat/Member of the panchayat samitee or the concerned Ward Council or in the urban area, as the case may be, specifying the nature of work the applicant is/was engaged in.\n(v) A self attested photograph\nWitnesses\nWitnesses",
"footnote": "",
"is_definition": false,
"sort_order": 33
},
{
"number": "1",
"title": "1. Name & Address",
"chapter": null,
"content": "(a)\n(b)\nSignature of Claimant\nLabour Superintendent/\nAssistant Labour Commissioner\nor\nan officer authorised by the District Magistrate",
"footnote": "",
"is_definition": false,
"sort_order": 34
}
],
"metadata": {
"Act ID": "Last Updated 4th February, 2020 [bh770]",
"Act Number": "Published vide Notification No. S.O. 88, dated 30th March 2012",
"Enactment Date": "",
"Act Year": "2011",
"Short Title": "Bihar Shatabdi Unorganized Sector Workers and Artisans Social Security Scheme 2011",
"Type": "STATE",
"Location": "Bihar"
},
"updated_at": "2026-09-29 21:55:19"
}