Get Form-20 Claim For Maternity Benefit After The Death Of An Iw - Esic Nic

Filing a Form-20 Claim for maternity benefit after the death of an insured woman can be a challenging process for individuals who find themselves in this situation. This guide aims to provide clear and supportive instructions to help users navigate the process effectively and ensure that all necessary information is correctly submitted.

Follow the steps to complete your form accurately and efficiently.

1. To begin, click the ‘Get Form’ button to access the form. This will allow you to open it in your preferred document editor.
2. Fill in the date of the death of the insured woman in the designated field at the start of the form.
3. Write the name of the deceased insured woman in the appropriate section, ensuring spelling and details are correct.
4. Enter the insurance number associated with the deceased. This number is essential for processing the claim.
5. Provide the name of the last employer of the deceased in the specified field. This identifies where the insured individual's benefits originated.
6. In the next section, indicate your relationship to the deceased insured woman. Choose from the options provided or write in your relationship if necessary.
7. Select whether you are the nominee or the legal representative of the deceased. Strike out the line that does not apply.
8. Complete the period for which you are claiming maternity benefit, entering the start and end dates.
9. Declare whether the deceased left behind a alive child or a deceased child by marking the appropriate statement. Strike out the option that does not apply.
10. Specify the preferred method for payment, either by money order or cash at the branch office.
11. Sign your name or provide a thumbprint where indicated, along with your name printed in block letters.
12. Include your address in the section provided to ensure that any correspondence reaches you.
13. Seek attestation from an authorized individual as listed in the instructions, making sure their signature and stamp are included.
14. Finally, ensure that you submit the completed form along with the deceased's death certificate to the appropriate branch office within 30 days of the death.

Complete your Form-20 Claim online to secure your maternity benefit rights.