Online Forms

Claims Under Regular Life Insurance Policies (LIC)

01. Death Claims:
          The person legally entitled to receive the policy monies should give intimation of death of the policyholder to the servicing Branch. The requirement for the claim are as given below:

 Claim Form ‘A’ in Form No.3783.

  1. If policy has run for 3 years or more from date or risk, claim form no.3783A may be used.
  2. Certified extract from death register.
  3. The original policy document with Deed/s of assignment/s, if any. (Additional requirement may be required under a policy according to the status of the policy. Please contact our servicing Branch for details).

Click here for Claim Form ‘A’ in Form No.3783. attached file is in PDF Document Format(Content is in English, Hindi and Marathi)(2.25 MB)
Click here for Claim From no.3783(A) attached file is in PDF Document Format(Content is in English and Hindi)(1.22 MB)

02. Maturity Claims:

  1. It is our endeavour to settle your maturity claim on or before the due date. The servicing Branch usually sends maturity claim intimations two months in advance.
  2. Please submit your Discharged Receipt in Form No.3825 with original policy document atleast one month before the due date so that the payment is received before the due date of maturity claim.
  3. If you have not received any intimation for your claim due in the next two months, please contact the servicing Branch immediately.

Click here to download Form No. 3825  attached file is in PDF Document Format(Content is in English, Hindi and Marathi)(316 KB)

03. Survival Benefit Claims forms:

Click here to download Form No.5180  attached file is in PDF Document Format(Content is in English, Hindi and Marathi)(2.38 MB)

04. Revival Forms

Revival of Lapsed Policy- Form no. 680

Click here to download  attached file is in PDF Document Format(Content is in English, Hindi and Marathi)(360 KB)

Revival of Lapsed policy – Form no. 700

Click here to download  attached file is in PDF Document Format(Content is in English, Hindi and Marathi)(3.31 MB)

Revival of lapsed Policy- Form no. 720

Click here to download  attached file is in PDF Document Format(Content is in English, Hindi and Marathi)(2.53 MB)

IPP-ECS Mandate Form

05. IPP-NEFT MANDATE FORM
Click here to download attached file is in PDF Document Format(Content is in English and Hindi)(57 KB)

06. Certificate of Existence
Click here to download attached file is in PDF Document Format(Content is in English and Hindi)(57.8 KB )

07. IPP-Letter of Indemnity
Click here to download attached file is in PDF Document Format(Content is in English and Hindi)(58.7 KB )

08. Neft Mandate Form
Click here to download attached file is in PDF Document Format(Content is in English and Marathi)(58.7 KB )

09. Health Insurance Forms
Click here to download

10. Pre-contract Integrity Pact

Click here to download attached file is in PDF Document Format(Content is in English)(7.13 MB)

11. Forms required for issuance of duplicate policy

Questionairre attached file is in PDF Document Format(Content is in English, Hindi and Marathi)(1.01 MB)

Form No 3756 attached file is in PDF Document Format(Content is in English, Hindi and Marathi)(2.05 MB)

12. Self Certification form for FATCA and CRS

Click here to download attached file is in PDF Document Format(Content is in English)(7.13 MB)

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