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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:

  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).
Click here for Claim Form 'A' in Form No.3783.(PDF Format)
Click here for Claim From no.3783(A)(PDF Format)
 

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 (PDF Format)
 

Survival Benefit Claims forms:

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

Revival Forms

Revival of Lapsed Policy- Form no. 680

Click here to download (PDF format)

Revival of Lapsed policy - Form no. 700

Click here to download (PDF format)

Revival of lapsed Policy- Form no. 720

Click here to download (PDF format)
 

IPP-ECS Mandate Form
Click here to download

IPP-NEFT MANDATE FORM
Click here to download

Certificate of Existence
Click here to download

IPP-Letter of Indemnity
Click here to download

 

Neft Mandate Form
Click here to download

 

Health Insurance Forms
Click here to download

 

Pre-contract Integrity Pact

Click here to download

Forms required for issuance of duplicate policy

Questionairre

Form No 3756

Life Insurance Corporation of India – Corporate Office : Yogakshema Building, Jeevan Bima Marg, P.O. Box No – 19953, Mumbai – 400 021 IRDAI Reg No- 512
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