LIC CLAIM FORMS, Death Claim, Maturity Claim, Survival Benefit Claims forms: Revival Forms ECS Mandate Form

A. Claims Under Regular Life Insurance Policies

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.

If policy has run for 3 years or more from date or risk, claim form no.3783A may be used. Certified extract from death register. 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 herefor Claim Form 'A' in Form No.3783.(PDF Format)

Click herefor Claim From no.3783(A)(PDF Format)

Maturity Claims:

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.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.If you have not received any intimation for your claim due in the next two months, please contact the servicing Branch immediately.

Click here todownload Form No. 3825 (PDF Format)

Survival Benefit Claims forms:

Click here to download Form No.5180 (PDF Format)

B. Proposal Forms

Proposal forInsurance under Jeevan Akshay-II (PDFformat)

Proposal forInsurance under Bima Nivesh (PDF Format)

INSTRUCTION ON USING THE PROPOSAL FORM TEMPLATE

The PROPOSAL-FORM is a Word Document template which enables you to fill up the Proposal form on a PC and take a Printout .

Filling the Form on a Personal Computer . ( MS WORD ) .

Once you download the form . You can save the form as template for regular use , or just use the form as a word document. In the later case the document type must be changed from template to word document.

From the File menu, choose New . Under Template select the provided template . You must save the template in the appropriate template directory on your PC .

OR double click on this file and a document will be opened.

Once you double click on the template , you get a document which you can fill , save and take a Print out of the Same .

IMPORTANT :

(i) Please use TAB, do not use the ENTER key to move to the next field . SHIFT + TAB or the UP ARROW KEY can be used to move to a previous field .

(ii) Press F1 for the display of the HELP text for a form field .

(iii) Press F4 for the display of the drop down list wherever available. The presence of the drop down list is indicated by ‘---‘ in the form field .

(iv) There is also display on the Status Bar about the item to be entered in form field.

Once filled up the form can be saved using the File menu – Save As option.

C. Mandate Form For Payment Of LICI Premium By ECS

Click here to download Mandate form for LICI premium by ECS

D. Revival Forms

Revival of Lapsed Policy- Form no. 680