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F LLTC in respect of myself or family members for the Block Years for which claim is being made. 15 I certify that the above claim is as per entitlement for re-imbursement under LTC Rules for executive cadre employees of CIL. Enclo: 1) Copy of Office Order. Signature of Executive.

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How to fill out the LLTC encashment claim form online

Filling out the LLTC encashment claim form online can be a streamlined process if you follow the right steps. This guide is designed to provide you with clear instructions on how to effectively complete this form, ensuring that all necessary details are included.

Follow the steps to successfully complete the LLTC encashment claim form online.

  1. Click the ‘Get Form’ button to obtain the form and open it in your preferred document editor.
  2. Begin by providing your personal information. Fill in your name, department, CC number, personal number, basic pay, grade, and the reference number of the sanctioning office order. This information is crucial for identifying your claim.
  3. Indicate the block years for which you are submitting the claim, as well as the details of individuals for whom the claim is made. Fill in each person's name, relationship to you, age, and include your signature as the executive.
  4. Provide the required dependency certificate, particularly if any of your wards are over the age of 21. This certificate confirms their dependency status.
  5. Indicate whether your spouse is dependent on you. Answer 'Yes' or 'No' to the question regarding your spouse's employment status and if employed, confirm that they have not submitted a reimbursement claim from their employer.
  6. Affirm that the details you have provided are accurate and complete, and that nothing material has been concealed.
  7. Certify that you have not submitted any other claims for LLTC encashment related to yourself or your family members for the block years in question.
  8. Ensure that your claim aligns with the entitlement for reimbursement under the LTC rules for executive cadre employees. Attach a copy of the office order as required.
  9. After completing the form, review all filled information for accuracy. You can then save your changes, download the completed form, print it, or share it as necessary.

Take action now by completing your LLTC encashment claim form online to ensure you receive your eligible benefits without delay.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232