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Death Claim Forms

 Claim Form 'A' in Form No.3783
 From no.3783(A)

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:

  1. Claim Form 'A' in Form No.3783.
    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).

Maturity Claims:

Form No. 3825

  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.

Survival Benefit Claims forms:

Form No.5180


Mandate Form For Payment Of LICI Premium By ECS

Mandate form for LICI premium by ECS


Revival Forms

Revival of Lapsed Policy- Form no. 680
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Revival of Lapsed policy - Form no. 700
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Revival of lapsed Policy- Form no. 720
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Neft Mandate Form 

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Certificate of Existence   

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N.R.I.

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IPP-Letter of Indemnity 

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Physician Report

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Declaration Of Age

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 Appointment Of Appointee

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Profit & Loss of Various Life Insurance Companies

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