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Haryana Labour Welfare Funds Form

HLWB Scheme Performance: Filing Guide

The HLWB Scheme Performa helps Haryana’s construction workers and their families access welfare benefits like bicycle allowances, spectacles support, maternity aid, education scholarships, and more—quickly and accurately.

HLWB Scheme Performa Overview

Aspect Details
PurposeApply for welfare benefits for construction workers
Filing RequirementFilled by BOCW-registered workers with employer support
Non-Compliance PenaltyDisqualification from benefits, employer fines
Form ValidityTypically valid for one financial year

HR Tip:

The HLWB Performa bridges the gap between workers and much-needed state welfare benefits by streamlining the process.

What This Form Does

This standardized performa is a legal requirement under the Haryana Building and Other Construction Workers (BOCW) Welfare Act. It ensures that workers have a structured way to apply for welfare schemes without ambiguity or unnecessary paperwork. Filing this correctly gives access to bicycle subsidies, medical support, maternity benefits, and more.

When You Need This Form

Mandatory Filing Scenarios

  • Bicycle Scheme Assistance – Apply when buying a bicycle for work use.
  •  Spectacles Scheme Support – Apply when purchasing spectacles for personal use.
  • Maternity Benefit Claim – Apply during maternity leave to claim aid.
  • Education Support – Apply when enrolling children for education.
  • Death Benefit Claim – Apply if a registered worker passes away.

Form Submission Requirements

  • Format: Both Online & Offline
  • Portal/Office: Submit at hrylabour.gov.in or nearest Labour Welfare Office
  • Timeline: Apply within 90 days of registration or relevant event (e.g., childbirth, medical purchase).
  •  Validity: Generally valid for one financial year.

HR Tip:

Set reminders for renewal at least 60 days before expiry. Use digital copies for easy re-submission.

Penalties for Wrong Filing or Missing Deadlines

  • Delay beyond 90 days → Application Rejected
  • Incomplete form → Flat rejection
  • Incorrect Aadhaar or BOCW registration number → Rejection
  • Employer fails to pay contribution (₹31 per worker per month):
     – Employer fined per Haryana State Employment Act
     – Worker loses eligibility for all benefits

Hr Tip:

Avoid future complications and potential fines by double-checking every detail before submission.

Pro Tip:

 Automate deadline reminders and keep digital records of employer contributions.

Recent Updates & Changes

  • Latest Amendment (Jan 2023): Employer contribution fixed at ₹31 per worker/month → Simplifies payroll and filing process.
  • Previous Version (2021): Shift to digital platform for online filing → Reduced manual errors and improved application tracking.
  • Next Expected Update (Mid-2025):
     – Expansion of benefit schemes
     – Further automation via integration with HRMS
     – Faster application approvals with enhanced digital workflows

Pro Tip:

Always ensure you’re working with the latest form version to avoid rejections.

HLWB Scheme Performa Template Structure

Section 1: Worker Personal Details

Required Information:
• Full Name (As per Aadhaar)
• BOCW Registration Number
• Contact Information
• Family Member Details

Section 2: Employment Details

Required Information:
• Employer Name & HUM ID
• Type of Construction Work
• Work Experience
• Monthly Wages (Exact figure)

Section 3: Scheme Application

Required Information:
• Scheme Type (e.g., Bicycle, Spectacles, Maternity)
• Benefit Amount Requested
• Supporting Documents (Medical bills, Receipts, Proof of Study)
• Declaration & Signature

Step-by-Step Form Filling Guide

Before You Begin

  • Collect Aadhaar & BOCW Registration Certificate
  • Get employer verification letter with recent signature
  • Gather supporting documents: Medical bills, Education certificates, Receipts

Filling Instructions

Section: Worker Personal Details

  • Always enter full name as in Aadhaar (No shorthand)
  • Double-check BOCW registration number

Section: Employment Details

  • Use accurate HUM ID from employer
  • Provide exact wage amount (don’t estimate)

Section: Scheme Application

  • Only apply for schemes where you have full documentation
  • Attach clear copies of medical bills, receipts, etc.

Common Mistake to Avoid:
Submitting handwritten forms with incomplete or blurry attachments → Use typed forms and clear scans.

Form Validation Checklist

Pre-Submission Verification

  • Aadhaar and BOCW registration match exactly
  • Employer verification letter dated within the last 30 days
  • All scheme documents attached (bills, certificates)
  • No fields left blank
  • Correct wage data entered

Post-Submission Actions:

  • Save reference number
  • Monitor status via portal
  • Upload any inspection reports if requested within 24 hours

Pro Tip:

Keep a digital folder with all filled forms and acknowledgment receipts.

Audit-Readiness Guidelines

Documents to Maintain:

  • Original form with official acknowledgment
  • All supporting attachments (medical bills, purchase receipts, etc.)
  • Employer contribution receipts
  • Any correspondence with authorities

 Retention Period: Keep documents for 7 years after the financial year of submission.

Pro Tip:

Store both physical and digital copies, with cloud backups to prevent data loss.

Common Form Filling Errors

Mismatched Name Spelling

  • Error: Inconsistent spelling between Aadhaar and form
  • Fix: Always copy name exactly as it appears on Aadhaar.

Outdated Employer Verification

  • Error: Old verification letter
  • Fix: Get employer letter signed within the last 30 days of filing.

 Missing Supporting Documents

  • Error: Forgetting medical or education receipts
  • Fix: Collect and attach all proof before applying.

HR Tip:

Prepare a standard checklist for every worker applying for benefits.

How Keka Simplifies Labour Welfare Compliance

Managing Labour Welfare compliance can be overwhelming, especially when dealing with multiple forms, strict deadlines, and evolving regulations. Keka simplifies this process by offering a comprehensive digital solution designed to reduce errors, save time, and ensure full compliance—without extra manual effort.

Automated Form Generation

Pre-built HLWB Scheme Performa templates with built-in field validation prevent common mistakes like mismatched Aadhaar numbers or missing employer details. The system auto-populates fields from your existing HRMS database, eliminating repetitive data entry and ensuring consistency across records.

Compliance Validation

Keka’s platform checks every mandatory field and supporting document in real time, flagging missing or incorrect entries before submission. This reduces the risk of rejected applications and improves approval success rates.

Digital Employee Self-Service

Workers can directly apply for welfare schemes via a secure portal, upload required documents (like medical certificates or work slips), and track the status of their applications. This minimizes HR’s administrative burden and provides transparency to employees.

Centralized Document Management

All submitted forms, acknowledgment receipts, contribution records, and correspondence are stored securely in a searchable digital repository. This ensures you’re always audit-ready and saves time spent digging through paperwork.

Automated Reminders & Tracking

Never miss an important deadline. Keka sends automatic alerts for scheme renewal dates, contribution payments, and document submission cutoffs. HR professionals can focus on strategic tasks while the system manages compliance schedules.

Submit statutory forms without the chaos

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Got Questions?

Can I apply for multiple schemes with one performa?

No. Each scheme requires a separate application with its specific documents.

How do I know my application is complete?

 Use the pre-submission validation checklist—ensure Aadhaar and BOCW numbers match, no fields are blank, and all receipts are attached.

What happens if my employer doesn’t pay the contribution?

Worker becomes ineligible for all benefits, and the employer may face legal fines.

How long does the approval process take?

Typically between 3–8 weeks, depending on the scheme and document verification process.

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