Industrial Relations Form X: heir or assignee application to compute a benefit

Section-59(2) Tribunal computation application following the worker’s death, by the legally entitled heir or assignee.

See rule 24 · Industrial Relations (Central) Rules, 2026 · Central-sphere scope

Download and read the completed example

Completed fictional heir or assignee application to compute a benefit concerning Illustration Central Engineering Ltd (fictional), 14 Example Works, New Delhi 110001. The selected legal route and inapplicable alternatives are identified below.

Fictional, unsigned completed illustration. It demonstrates this form’s fields; it is not a filed return, medical opinion, official order or proof of an actual transaction.

When and how this form is used

Rule 24(2)’s proviso uses Form X in the deceased-worker situation. The applicant’s entitlement to act and receive must be proved separately from the deceased worker’s underlying benefit.

This is an alternative deceased-worker scenario, distinct from the living-worker examples in Forms VII–IX.

Section 59(2) allows the Tribunal to extend the three-month decision period where necessary or expedient, with written reasons. The three-month figure is not an unconditional receipt-of-payment deadline.

The completed fields

Deceased-worker application

Prescribed field / section	Completed fictional entry
Tribunal / applicant	Jurisdictional Central Government Industrial Tribunal, New Delhi; Neha Kumar (fictional), 5 Example Street, New Delhi 110001
Deceased worker / employer	Ravi Kumar, former worker, same address; Illustration Central Engineering Ltd (fictional), 14 Example Works, New Delhi 110001
Heir / assignee route	Heir route selected; hypothetical death 30 September 2026; actual legal entitlement and death proof required; assignment alternative N/A
Existing entitlement / annexure	Assumed settlement-based reimbursement for three pre-death qualifying journeys × ₹1,500 = ₹4,500; paid nil
Prayer	Determine amount due to deceased worker and lawful recipient according to proved entitlement
Place / date / execution	New Delhi, 20 October 2026; Unsigned fictional illustration; no seal, filing acknowledgement or authority act executed

Supporting records and reconciliation

Actual death and heir/assignment entitlement evidence, worker identity, underlying benefit/settlement, qualifying records and amount/payment reconciliation.

Worked calculation: ₹4,500 claim; nil paid; no invented death certificate or succession adjudication.

Official source and version

Official Ministry of Labour Gazette PDF, Form X, PDF pages 82–82

Industrial Relations Code 2020, actual relevant sections; Gazette Act 35 of 2020

Act 1 of 2026, section 2 substitutes section 104 repeal/authority continuity

Download the official source pages containing this form. Adjacent prescribed forms can share a source page; use the heading and rule identified above.

These are Central Rules. Use the actual appropriate government and authority. The 2026 amending Act substitutes section 104’s repeal/continuity provisions and continues existing Tribunals/statutory authorities until the Code authorities function: https://egazette.gov.in/WriteReadData/2026/270186.pdf. Enacted Code: https://egazette.gov.in/WriteReadData/2020/222118.pdf

Practical questions

Can I submit the sample as my own completed form?

No. Replace the fictional facts with accurate records, use the competent filing or record-keeping route described above and complete genuine signatures or certifications where required.

What makes the example specific to this form?