Free form template · Word

Canteen Feedback Form

A canteen feedback form collects employee ratings and comments on canteen food quality, hygiene, variety, service and value for money. Admin and the canteen committee use the results to review the contractor and fix specific complaints quickly.

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[Company Logo][Company Name]

CANTEEN FEEDBACK FORM

Unit:: [Company Name], [Work Location]
Canteen Contractor:: [Contractor Name]
Feedback Period:: [Month / Year]

About You (optional)

Name
Employee ID
Department
Shift

Rate the Canteen (1 = Poor, 5 = Excellent)

Aspect	Breakfast	Lunch	Dinner	Snacks
Taste	[1-5]	[1-5]	[1-5]	[1-5]
Quantity	[1-5]	[1-5]	[1-5]	[1-5]
Hygiene and Cleanliness	[1-5]	[1-5]	[1-5]	[1-5]
Menu Variety	[1-5]	[1-5]	[1-5]	[1-5]
Service and Staff Behaviour	[1-5]	[1-5]	[1-5]	[1-5]
Value for Money	[1-5]	[1-5]	[1-5]	[1-5]

Specific Complaint (if any)

Date and Meal
Issue: Foreign matter / Stale food / Undercooked / Short quantity / Rude behaviour / Other
Description
Reported to canteen supervisor at the time: Yes / No

Suggestions

Dishes you would like added
Dishes you would like removed
Other suggestions

Submitted by (optional)
[Employee Name]
Date: [Date]

Admin Action

Issue	Action Agreed with Contractor	Target Date	Status
[Issue]	[Action]	[DD/MM/YYYY]	[Open / Closed]
[Issue]	[Action]	[DD/MM/YYYY]	[Open / Closed]

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What this template includes

Rating grid on taste, quantity, hygiene, variety, service, value
Meal and date of experience
Specific complaint section with urgency
Menu suggestions
Optional identification for follow-up
Admin action and closure record

When to use it

Monthly or quarterly canteen quality reviews
Before renewing or changing the canteen contractor
After a specific complaint such as foreign matter or stale food
When introducing a new menu

How to customise this template

1Change the rating scale to smileys for shop-floor use
2Translate into the local language
3Add a QR code link to an online version
4Include the contractor's name for accountability

HR tips

Escalate hygiene and safety complaints the same day
Share a monthly summary with the canteen committee
Keep names optional to encourage honesty
Thank employees and show what changed

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Frequently asked questions

How often should canteen feedback be collected?+

Monthly or quarterly is common, with a standing option to report specific complaints at any time.

Who reviews canteen feedback?+

Typically admin, HR and the canteen committee, who then discuss it with the contractor.

What if I found something unsafe in the food?+

Report it immediately using the complaint section and inform the canteen supervisor so the batch can be checked.

All 50 employee benefits & insurance →

[Company Logo][Company Name]
CANTEEN REGISTRATION FORM
Company / Unit:
[Company Name], [Work Location]
Canteen Contractor:
[Contractor Name]
Effective From:
[DD/MM/YYYY]
Date:
[Date]
Employee Details
Employee Name
Employee ID / Token No.
Department
Shift: General / A / B / C
Mobile Number
Meal Plan
Meal Timing Subsidised Rate (₹) Opt (Y/N)
Breakfast [HH:MM-HH:MM] [Amount] [Y/N]
Lunch [HH:MM-HH:MM] [Amount] [Y/N]
Evening Tea and Snacks [HH:MM-HH:MM] [Amount] [Y/N]
Dinner (night shift) [HH:MM-HH:MM] [Amount] [Y/N]
Food Preference
Form · Word
Canteen Registration Form
Download .docx
[Company Logo][Company Name]
EMPLOYEE BENEFITS ENROLLMENT FORM
Company:
[Company Name]
Form No.:
[Reference Number]
Date of Submission:
[Date]
Enrollment Deadline:
[DD/MM/YYYY]
Please complete all sections within the enrollment window and return this form to [HR Name], Human Resources. Benefits will be activated only after HR verification.
Section A: Employee Details
Employee Name (as per PAN)
Employee ID
Designation
Department
Date of Joining
Work Location
Date of Birth
Gender
Mobile Number
Personal Email
PAN
Aadhaar (last 4 digits only)
Section B: Statutory Benefits
UAN (if already allotted)
Previous PF Account / Member ID
ESI IP Number (if applicable, for gross wages up to ₹21,000/month)
Opting for higher PF contribution: Yes / No
Form · Word
Employee Benefits Enrollment Form
Download .docx

Meal	Timing	Subsidised Rate (₹)	Opt (Y/N)
Breakfast	[HH:MM-HH:MM]	[Amount]	[Y/N]
Lunch	[HH:MM-HH:MM]	[Amount]	[Y/N]
Evening Tea and Snacks	[HH:MM-HH:MM]	[Amount]	[Y/N]
Dinner (night shift)	[HH:MM-HH:MM]	[Amount]	[Y/N]

Employee Name (as per PAN)
Employee ID
Designation
Department
Date of Joining
Work Location
Date of Birth
Gender
Mobile Number
Personal Email
PAN
Aadhaar (last 4 digits only)

UAN (if already allotted)
Previous PF Account / Member ID
ESI IP Number (if applicable, for gross wages up to ₹21,000/month)
Opting for higher PF contribution: Yes / No

[Company Logo][Company Name]

FLEXIBLE BENEFITS SELECTION FORM

Company:: [Company Name]
Financial Year:: [FY 20XX-XX]
Submission Date:: [Date]
Payroll Cut-off:: [DD/MM/YYYY]

Part 1: Employee Information

Employee Name
Employee ID
Designation
Department
Annual CTC: ₹[CTC]
Annual Flexi Basket: ₹[Amount]
Tax Regime Opted: Old / New

Part 2: Allocation of Flexi Basket

Component	Company Limit per Month (₹)	My Monthly Allocation (₹)	Annual Allocation (₹)	Bills Required
Meal Card / Food Coupons	[Amount]	[Amount]	[Amount]	No (card based)
Fuel and Vehicle Maintenance	[Amount]	[Amount]	[Amount]	Yes
Telephone and Internet	[Amount]	[Amount]	[Amount]	Yes
Leave Travel Allowance	[Amount]	[Amount]	[Amount]	Yes, travel proof
Books and Periodicals	[Amount]	[Amount]	[Amount]	Yes
Employer NPS Contribution	[Amount]	[Amount]	[Amount]	No
Total (must equal flexi basket)	-	[Amount]	[Amount]	-

Part 3: Terms

Form · Word

Benefits Selection Form

Download .docx

[Company Logo][Company Name]

GROUP INSURANCE NOMINATION FORM

Company:: [Company Name]
Policy:: Group Term Life / Group Personal Accident
Insurer:: [Insurer Name]
Policy No.:: [Policy Number]
Date:: [Date]

Employee Details

Employee Name
Employee ID
Designation
Department
Date of Birth
Date of Joining
Marital Status

Nominee Details

Nominee Name	Relationship	Date of Birth	Address and Mobile	Share (%)
[Nominee Name]	[Relationship]	[DD/MM/YYYY]	[Address, Mobile]	[%]
[Nominee Name]	[Relationship]	[DD/MM/YYYY]	[Address, Mobile]	[%]
[Nominee Name]	[Relationship]	[DD/MM/YYYY]	[Address, Mobile]	[%]
Total				100%

Appointee (only if a nominee is a minor)

Form · Word

Group Insurance Nomination Form

Download .docx

[Company Logo][Company Name]
MEDICLAIM DECLARATION
Company:
[Company Name]
Policy Year:
[DD/MM/YYYY] to [DD/MM/YYYY]
Date:
[Date]
A. Employee Particulars
Employee Name
Employee ID
Department
Designation
Date of Birth
Contact Number
B. Choice of Cover (tick one)
- I opt IN to the group mediclaim for myself and the dependants listed in Part C.
- I opt IN for myself only.
- I opt OUT of the group mediclaim. I am covered under policy no. [Policy Number] with [Insurer Name]. I understand I cannot claim under the company policy and may rejoin only at renewal, if permitted.
C. Dependants Declared for this Policy Year
Form · Word
Mediclaim Declaration Form
Download .docx
[Company Logo][Company Name]
HEALTH INSURANCE CLAIM SUBMISSION FORM (INTERNAL)
Company:
[Company Name]
Insurer / TPA:
[Insurer Name] / [TPA Name]
Policy No.:
[Policy Number]
Internal Claim Ref.:
[Reference Number]
Date of Submission:
[Date]
Important: This form helps HR process your claim. The insurer's or TPA's official claim form must also be completed, signed and attached where required.
1. Employee Details
Employee Name
Employee ID
Department
Mobile Number
Email ID
2. Patient Details
Patient Name
Relationship to Employee
Age
E-card / Member ID
TPA Claim Intimation No. (if any)
Form · Word
Health Insurance Claim Form
Download .docx
[Company Logo][Company Name]
INSURANCE CLAIM ASSISTANCE REQUEST
Company:
[Company Name]
Request No.:
[Reference Number]
Date:
[Date]
Priority:
Urgent (in hospital) / Normal
Employee and Policy
Employee Name
Employee ID
Department
Mobile Number
Policy Type: Group Health / Group Personal Accident / Group Term Life
Patient / Insured Member Name
TPA / Insurer Claim Number
Nature of Assistance Needed
- Cashless approval pending
- Reimbursement claim delayed
- Claim rejected, request review
- Claim partly settled / deductions unclear
- Document query from TPA
- Other: [Details]
Claim Summary
Form · Word
Insurance Claim Assistance Form
Download .docx

Patient Name
Relationship to Employee
Age
E-card / Member ID
TPA Claim Intimation No. (if any)

[Company Logo][Company Name]

EMPLOYEE INSURANCE DETAILS FORM

Company:: [Company Name]
Record Date:: [Date]
Last Updated:: [DD/MM/YYYY]

Employee Information

Employee Name
Employee ID
Designation
Department
Work Location
Date of Joining
Mobile Number

Coverage Summary

Cover	Insurer	Policy No.	Member / E-card ID	Sum Insured (₹)	Valid Till
Group Mediclaim	[Insurer Name]	[Policy Number]	[Member ID]	[Amount]	[DD/MM/YYYY]
Group Term Life	[Insurer Name]	[Policy Number]	[Member ID]	[Amount]	[DD/MM/YYYY]
Group Personal Accident	[Insurer Name]	[Policy Number]	[Member ID]	[Amount]	[DD/MM/YYYY]
Voluntary Top-up	[Insurer Name]	[Policy Number]	[Member ID]	[Amount]	[DD/MM/YYYY]

Statutory Coverage

Form · Word

Employee Insurance Details Form

Download .docx

Employee Name
Employee ID / Token No.
Department
Shift: General / A / B / C
Mobile Number

Canteen Feedback Form

Preview of the form

About You (optional)

Rate the Canteen (1 = Poor, 5 = Excellent)

Specific Complaint (if any)

Suggestions

Admin Action

What this template includes

When to use it

How to customise this template

HR tips

Hire top talent from BetterJobs

Frequently asked questions

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