The Uttar Pradesh Code on Social Security Rules, 2026
Form IX
Official text
Open in the official PDF (p. 144)
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[See clause (i) of sub-rule (2) of rule 46]
Decree in case
The Employees' Insurance Court, at…………………….
AB (add description and address of applicant)
…………………………………….........................
Against
CD (add description and address of opposite party/parties)
……………………….............................................
Case number of 20……
Claim for
This case coming on this day of final disposal before …………… in the presence of ………… for
the applicant and of …………… for the opposite party, it is ordered and decreed the ……………… and the
sum of Rupees………….be paid by the…………..to the on account of the cost of his suit, with interest
thereon, at the rate of................percent per annum from this date to the date of realization.
Costs of Suits
Item Cost(in Rupees)
Stamp for application
Stamp for power
Stamp for written statement
Stamp for exhibits
Pleader’s fee
Subsistence for witness
Service of summons and notices
Competent Authority’s fees
Any other expenses
Total
Given under my hand and the seal of the Court on this…….day of…….20…
COURT