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I the undersigned ________ of Shri/Smt. __________________________________ here by inform you about the death of my_______________. I request you to settle the death claim under his policy no. _________________________________ at the earliest in my favour being the nominee of the above no.
I the undersigned ________ of Shri/Smt. __________________________________ here by inform you about the death of my_______________. I request you to settle the death claim under his policy no. _________________________________ at the earliest in my favour being the nominee of the above no.
Death Claims: Claim form A ? Claimant's Statement giving details of the deceased and the claimant. Certified extract from Death Register. Documentary proof of age, if age is not admitted. Evidence of title to the deceased's estate if the policy is not nominated, assigned or issued under M.W.P. ... Original Policy Document.
How to File a Death Claim with LIC? Visit the branch where the policy was issued to give intimation of death. Collect Form A - 3783 and Form 3801 along with an NEFT form to facilitate funds transfer.
If you're completing an individual claim form, you'll need to fill out personal details about you and the insured, such as: Full name. Address. Date of birth. Social security number. Your relationship to the insured.