Get Claim Form For Survival Benefit Due On Anticipated Endowment Assurance Policy Pdf

Filling out the Claim Form for Survival Benefit due on an anticipated endowment assurance policy can be a straightforward process when approached step by step. This guide provides clear instructions for completing the form online to ensure that users can submit their claims efficiently.

Follow the steps to successfully complete your claim form.

1. Press the ‘Get Form’ button to access the claim form and open it in your preferred online editing tool.
2. Begin by filling in the name of the insurant in capital letters. Include the first name, middle name, and last name as specified.
3. Provide information about your occupation to allow for context regarding the claim.
4. Enter your complete communication address, including the village, city, state, taluka, district, and country. Additionally, fill in the PIN code.
5. Input the particulars of your policy, including the policy number, sum assured, date of acceptance, and the date when the survival benefit is due. Ensure all dates are presented in the specified format.
6. Fill in the designation and address of your drawing and disbursing officer from the last six months. Complete the village, city, state, taluka, district, country, and PIN information.
7. Identify the designation and address of your pay and accounts officer, following the same format as previous steps.
8. List the name of the post office where you paid premiums during the last six months. Provide up to six entries, labeled accordingly.
9. Indicate the name of the post office for the desired payment location. If applicable, include both the sub post office and the head post office.
10. For payment through cheque, provide details about your post office or bank account, including account number, name of the post office or bank, and branch name.
11. Attach the required documents listed at the end of the form such as the premium receipt book, certificate from the pay disbursing officer, and any other relevant documents.
12. Finally, ensure to date the form, sign it, and enter your name, along with your contact information including phone number, office, residence, and mobile number.
13. After completing the form, you can save your changes, download a copy, print it, or share the form as needed.

Complete your claim form online today for a streamlined submission process.