The Code on Social Security (Mizoram) Rules, 2026
Form I
Official text
Open in the official PDF (p. 28)
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(SEE RULE 5)
APPEAL TO EMPLOYEES’ INSURANCE COURT
To,
The Authority,
(Appointed under the Code on Social Security, 2020)
……………………………………………(Address)
Sir,
I………………….…., the undersigned, employee
of…………………………….…....… (Name and full address of the establishment)
*Feel aggrieved by the order of ......................................... under sub section 7(a) of section 37 for the reasons
attached hereto, prefer this second appeal under sub-section 7(b) of section 37 and request that the
said ................. be ordered .............................................................................................
A copy of the order of.........................................................................in this behalf is enclosed.
Signature or thumb impression
of the Aggrieved person
Date .......................
Signature of an Attester in case the person
is not able to sign and affixes thumb impression.