Get Lic03

The Lic03 form is a special medical report required by the Life Insurance Corporation of India for health assessment purposes. This guide will help you navigate the online completion of the Lic03 form, ensuring accuracy and compliance with requirements.

Follow the steps to fill out the Lic03 form correctly.

1. Click the ‘Get Form’ button to access the Lic03 form and open it in the designated online editor.
2. Begin with the personal details section, including the zone, division, and proposal number. Make sure to fill out each field accurately to avoid processing delays.
3. Enter the agent or development officer code, followed by the name of the person to be assured. Also, include their age and sex in the appropriate fields.
4. Fill in the hemogram details including red blood cell count, hemoglobin percentage, hematocrit, and indices such as mean corpuscular volume, mean corpuscular hemoglobin, and mean corpuscular hemoglobin concentration.
5. Provide morphological details, noting the presence of macrocytes, poikilocytosis, microcytes, anisocytosis, target cells, spherocytes, and elliptocytes.
6. Complete the white blood cell section by indicating the total count and differentials, categorizing neutrophils, lymphocytes, basophils, eosinophils, and monocytes.
7. Record the platelet count and the erythrocyte sedimentation rate along with the method used for the determination.
8. At the end of the form, include the signatures of the life assurer and the pathologist, as well as the pathologist’s name, address, qualifications, and LICI code number.
9. After completing all fields, review the form for accuracy. Once verified, save your changes, and consider downloading or printing a copy for your records.

Complete your Lic03 form online to ensure a smooth and efficient processing experience.