Follow the steps to complete the Cghs Application Form for Pensioners online.

1. Click ‘Get Form’ button to access the CGHS Application Form for Pensioners and open it in your preferred editing tool.
2. Enter your full name in the designated field as the applicant.
3. Select your category by marking 'Pensioners' or specifying 'Others' if applicable.
4. Provide the name of the department or service from which you retired.
5. Fill in your last pay or basic pension details, ensuring that it reflects your pre-revised amount accurately.
6. Input your residential address clearly in the allotted space.
7. Include your telephone number, providing both landline (if available) and mobile numbers.
8. Enter your email address in the corresponding field.
9. Specify your date of superannuation using the format 'DD/MM/YYYY'.
10. Complete the details of your family, ensuring to include names, relationship to you, date of birth, and blood group where necessary. Attach proof of age for each family member listed.
11. Answer whether all listed family members are dependent on you and residing with you, attaching the required proof of residence.
12. Attach ID card-sized photographs of each family member mentioned in the application.
13. Read and agree to the declaration statements, confirming the accuracy of the information provided and your obligation to inform CGHS of any changes in dependency status.
14. Collect and attach the necessary documents, such as proofs of residence, age, disability certificate if applicable, surrender certificate, and attested copies of your pension payment order and last pay certificate.
15. Make the required payment via bank draft or postal order, ensuring you fill out the payment details correctly.
16. Review all information for accuracy before final submission, and once completed, you can save changes, download, print, or share the form as necessary.

Complete your application form online to ensure timely processing and access to benefits.