Get Death Claim Form

Completing the Death Claim Form is an essential step for the policyholder to initiate a claim process for a group term insurance policy. This guide provides clear and supportive instructions to help you fill out the form accurately and efficiently.

Follow the steps to fill out the Death Claim Form online

1. Click 'Get Form' button to obtain the Death Claim Form and open it in your preferred online editor.
2. Begin by entering the Group Policy Number and Member ID at the top of the form. These identifiers will help in processing your claim.
3. Fill in the full name of the policyholder and the full name of the deceased member. Ensure that the names are accurate and spelled correctly.
4. Input the date of birth of the deceased member, using the format specified in the form.
5. Provide the date of joining the company or group, followed by the date of joining the insurance policy.
6. Record the date of death and the cause of death. It is essential to provide this information accurately for the claims process.
7. Indicate the last date the deceased member attended their duties.
8. If applicable, list any leave availed by the employee in the last two years by completing the section provided. If you require more space, attach a separate sheet signed by the policyholder.
9. Under the section pertaining to payment, indicate whether the payment should be made to the group policyholder or the beneficiary. If to the beneficiary, enter their full name, relationship with the deceased member, age, and full address.
10. If payment is to the group policyholder, provide the necessary details as specified in the form.
11. If you opt for electronic fund transfer, choose 'Yes' and fill in the account holder’s name, bank name, account type, account number, branch address, MICR code, and IFSC code.
12. Carefully read and agree to the declaration statement concerning the accuracy of the information provided. Ensure the form is signed by the authorized person of the group policyholder, including the date and place.
13. Gather the required documents needed to submit with this claim form, such as the death certificate and any additional documentation specified for unnatural deaths.
14. Once all the information is filled out and reviewed, you can save changes, download, print, or share the completed form according to your needs.

Complete your Death Claim Form online today to ensure a smooth claims process.