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Andhra Pradesh
SS Rules
Form XVII

SS Rules (Andhra Pradesh)

Chapter I — Preliminary

r. 1Short title, extent and commencement
r. 2Definitions
r. 3Registration of establishments and cancellation thereof

Chapter II

r. 4Andhra Pradesh Unorganised Workers Social Security Board
r. 5(no heading in the Gazette)
r. 6If such a member changes his address, he shall notify his new address to the Member-Secretary of the Board who shall there upon enter his new address in the official records
r. 7(no heading in the Gazette)
r. 8(no heading in the Gazette)
r. 9Schemes for building workers
r. 10Other welfare measures and facilities
r. 11Meetings, notice of meetings, list of business and quorum
r. 12Reconstitution of The Andhra Pradesh Unorganised Workers Social Security Board and the Andhra Pradesh Building and Other Construction Workers’ Welfare Board or any of the Committees

Chapter III — Employees State Insurance Corporation

r. 13Employees State Insurance Society
r. 14Capitalised value of benefit payable to the employee
r. 15Terms and conditions for operation of scheme for other beneficiaries
r. 16Proceedings before the Employees' Insurance Court, etc

Chapter IV — Gratuity

r. 17Gratuity invested for benefit of minor
r. 18Nomination, fresh nomination and modification
r. 19Application for gratuity and appeal etc.,
r. 20Terms and conditions for management of the trust
r. 21Qualifications and experience of competent authority

Chapter V — Maternity Benefit

r. 22Certificate and notice of claim for maternity benefit
r. 23Duration of nursing breaks
r. 24Employees and crèche facility
r. 25Gross misconduct
r. 26Complaint before Inspector-cum-Facilitator and appeal
r. 27Duties of Inspector-cum-Facilitator

Chapter VI — Authorities, Assessment, Compliance and Recovery

r. 28Form and manner for maintenance of records and registers etc

Chapter VII — Offences and Penalties

r. 29Compounding of offences

Chapter VIII — Social Security and Cess in Respect of Building and Other Construction Workers

r. 30Time limit to payment of cess
r. 31Fees for Appeal

Chapter IX — Employment Information and Monitoring

r. 32Establishment and maintenance of career centre
r. 33Reporting of vacancies and result of selection etc

Chapter X — Employee’s Compensation

r. 34Rate of interest to be paid by the employer under clause (a) of sub-section (3) of section 77
r. 35Manner of notice under sub-section (1) and the manner of transmitting money under sub-section (3), of section 92
r. 36Form, manner and fee for application for claim or settlement under sub-section (3) of section 93
r. 37Venue of proceedings, transfer of matters and processing of application
r. 38Transfer of records or money
r. 39(no heading in the Gazette)
r. 40Class of Employers and the form of Notice Book
r. 41The manner of recording the memorandum in a register by the Competent Authority
r. 42Experience and qualifications for appointment as a Competent Authority
r. 43The amount to be deposited towards the expenditure of the funeral of the employee with the competent authority by the employer
r. 44Conditions when application for review is made without certificate of a Medical Practitioner
r. 45Frequent interval for Medical Examination
r. 46Form of Statement to be submitted by the employer
r. 47Venue of proceedings, transfer of matters and processing of application
r. 48(no heading in the Gazette)

Chapter XI — Miscellaneous

r. 49a. Eligibility conditions for grant of exemption

Forms, appendices and annexures

Form I
Form II
Form III
Form IV
Annexure to Form IV
Form V
Form VI
Form VII
Form VIII
Form IX
Form X
Form XI
Form XII
Form XIII
Form XIV
Form XV
Form XVI
Form XVII
Form EIR (Employment Information Return)
Form XVIII
Form XIX
Form XX

Contents of the SS Rules (Andhra Pradesh)

SS Rules (Andhra Pradesh)

Chapter I — Preliminary

r. 1Short title, extent and commencement
r. 2Definitions
r. 3Registration of establishments and cancellation thereof

Chapter II

r. 4Andhra Pradesh Unorganised Workers Social Security Board
r. 5(no heading in the Gazette)
r. 6If such a member changes his address, he shall notify his new address to the Member-Secretary of the Board who shall there upon enter his new address in the official records
r. 7(no heading in the Gazette)
r. 8(no heading in the Gazette)
r. 9Schemes for building workers
r. 10Other welfare measures and facilities
r. 11Meetings, notice of meetings, list of business and quorum
r. 12Reconstitution of The Andhra Pradesh Unorganised Workers Social Security Board and the Andhra Pradesh Building and Other Construction Workers’ Welfare Board or any of the Committees

Chapter III — Employees State Insurance Corporation

r. 13Employees State Insurance Society
r. 14Capitalised value of benefit payable to the employee
r. 15Terms and conditions for operation of scheme for other beneficiaries
r. 16Proceedings before the Employees' Insurance Court, etc

Chapter IV — Gratuity

r. 17Gratuity invested for benefit of minor
r. 18Nomination, fresh nomination and modification
r. 19Application for gratuity and appeal etc.,
r. 20Terms and conditions for management of the trust
r. 21Qualifications and experience of competent authority

Chapter V — Maternity Benefit

r. 22Certificate and notice of claim for maternity benefit
r. 23Duration of nursing breaks
r. 24Employees and crèche facility
r. 25Gross misconduct
r. 26Complaint before Inspector-cum-Facilitator and appeal
r. 27Duties of Inspector-cum-Facilitator

Chapter VI — Authorities, Assessment, Compliance and Recovery

r. 28Form and manner for maintenance of records and registers etc

Chapter VII — Offences and Penalties

r. 29Compounding of offences

Chapter VIII — Social Security and Cess in Respect of Building and Other Construction Workers

r. 30Time limit to payment of cess
r. 31Fees for Appeal

Chapter IX — Employment Information and Monitoring

r. 32Establishment and maintenance of career centre
r. 33Reporting of vacancies and result of selection etc

Chapter X — Employee’s Compensation

r. 34Rate of interest to be paid by the employer under clause (a) of sub-section (3) of section 77
r. 35Manner of notice under sub-section (1) and the manner of transmitting money under sub-section (3), of section 92
r. 36Form, manner and fee for application for claim or settlement under sub-section (3) of section 93
r. 37Venue of proceedings, transfer of matters and processing of application
r. 38Transfer of records or money
r. 39(no heading in the Gazette)
r. 40Class of Employers and the form of Notice Book
r. 41The manner of recording the memorandum in a register by the Competent Authority
r. 42Experience and qualifications for appointment as a Competent Authority
r. 43The amount to be deposited towards the expenditure of the funeral of the employee with the competent authority by the employer
r. 44Conditions when application for review is made without certificate of a Medical Practitioner
r. 45Frequent interval for Medical Examination
r. 46Form of Statement to be submitted by the employer
r. 47Venue of proceedings, transfer of matters and processing of application
r. 48(no heading in the Gazette)

Chapter XI — Miscellaneous

r. 49a. Eligibility conditions for grant of exemption

Forms, appendices and annexures

Form I
Form II
Form III
Form IV
Annexure to Form IV
Form V
Form VI
Form VII
Form VIII
Form IX
Form X
Form XI
Form XII
Form XIII
Form XIV
Form XV
Form XVI
Form XVII
Form EIR (Employment Information Return)
Form XVIII
Form XIX
Form XX

The Code on Social Security (Andhra Pradesh) Rules, 2026

Form XVII

Made under The Code on Social Security, 2020G.O.Rt. No. 126, 7 Jul 2026

Official text

Open in the official PDF (p. 69)

Tables and forms lose their layout when extracted; the PDF is the authoritative version.

[See Sub-Rule (6) of Rule 33]

Source: The Code on Social Security (Andhra Pradesh) Rules, 2026, G.O.Rt. No. 126 — Andhra Pradesh Gazette Extraordinary (as ordered by G.O.Rt. No. 126), p. 69 of the PDF. Open our copy at p. 69 · official download · all sources

Text from the Government Order that orders the notification's publication in the Andhra Pradesh Gazette; the Gazette issue itself was not found on the AP e-Gazette.

← Form XVIForm XVI Form EIR (Employment Information Return) →Form EIR (Employment Information Return)