Employee Compensation Claim Form - Workmen Compensation Act

Streamline Workmen Compensation Claims with Paperform

Managing employee compensation claims under the Workmen Compensation Act, 1923 requires meticulous documentation and compliance with Indian labour regulations. This Employee Compensation Claim Form template helps HR departments, legal teams, and compensation officers collect all necessary information from injured employees in a structured, compliant format.

Built for Indian Workplace Compliance

This template is specifically designed for Indian businesses navigating the Workmen Compensation Act. Whether you're processing claims for factory accidents, occupational injuries, or work-related illnesses, this form captures essential details including employee information, injury circumstances, medical expenses, witness statements, and dependent information—all in one streamlined submission.

Why Paperform for Compensation Claims?

Traditional paper-based claim forms lead to incomplete submissions, lost documents, and processing delays. With Paperform, you can digitise the entire claims process while maintaining the professional, detailed approach required for legal compliance:

• Conditional logic ensures employees only see relevant questions based on their injury type and employment status
• File upload fields allow workers to attach medical certificates, bills, doctor's reports, and supporting documents directly
• Calculation fields automatically total medical expenses and claim amounts
• Mobile-friendly design lets injured employees or their representatives submit claims from anywhere
• Secure data collection with SOC 2 Type II compliance protects sensitive employee and medical information

Automate Claims Processing with Stepper

Once a claim is submitted, speed matters. Connect your compensation form to Stepper to automate your entire claims workflow: notify the HR team and legal department, create case files in your document management system, update claim tracking spreadsheets, send acknowledgment emails to claimants, and route approvals through your internal hierarchy—all without manual data entry.

For claims requiring signatures from employers or medical officers, integrate Papersign to collect secure eSignatures on settlement agreements or acknowledgment documents, maintaining a complete audit trail from claim to resolution.

Perfect for HR Teams, Legal Officers & Factory Managers

This template is ideal for manufacturing units, construction companies, factories, warehouses, and any Indian organisation required to comply with the Workmen Compensation Act. HR professionals can customise fields to match their internal claims procedures, while maintaining the statutory requirements for compensation claims under Indian labour law.

Start processing employee compensation claims more efficiently while ensuring full regulatory compliance. With Paperform's intuitive editor, you can adjust questions, add your company branding, and create a claims process that works for both your injured employees and your legal team.