Life Insurance Corporation of India










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:

  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)






B.
Proposal Forms


Proposal
for Insurance under Jeevan Akshay-II
(pdf format)




Proposal
for Insurance under Bima Nivesh
(PDF Format)




Instructions
for filling up above form.









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
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)





E.
Application Form For Annuity Card



For annuitants of Mumbai P & GS UNIT

Click
here to download (Page 1)



Click
here to download (Page 2)





Claim forms
are in PDF format. Adobe® Acrobat®
Reader® is a free software that
lets you view and print Adobe Portable
Document Format(PDF) files.

Click
here to download Adobe® Acrobat®
Reader®



F. IPP-ECS Mandate Form



Click
here to download


G. Certificate of Existence 



Click
here to download




H.
IPP-Letter of Indemnity




Click
here to download









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