We request you to submit the following documents to register a death claim:

 

Mandatory documents required

• Original policy documents
• Original/attested copy of death certificate issued by local municipal authority
• Death claim application form (Form A)
• NEFT mandate form attested by bank authorities along with a cancelled cheque or bank account passbook
• Nominee's photo identity proof such as copy of Passport, PAN card, Voter identity card, Aadhar (UID) card, etc.

 

Additional documents required on basis of cause of death

• Medical/Natural death:
  • Attending physician's statement (Form 'C')
  • Medical records (admission notes, discharge/death summary, test reports, etc.)
• Accidental/Unnatural death:
  • Copy of the First Information Report (FIR) or Panchanama/Police complaint
  • Copy of Post Mortem report (PMR)/Autopsy and Viscera report
  • Copy of the Final Police Investigation report (FPIR)/Charge sheet

 

Click here to download the death claim forms

We request you to submit the following documents to register a health claim.

• Health claim application form (Details of forms available under claim forms section)
• Attending physician's statement
• Attested copies of all medical records
• NEFT mandate form

 

Click here to download the health claim forms

We request you to submit the following documents to register a group claim under the following categories.

Employer Employee Policies

• Claim form (GTL Employer Employee, EDLI, and Gratuity) as applicable
• Original/attested copy of death certificate issued by municipal authorities
• EFT mandate form to be completed by nominee/policyholder along with copy of a cancelled cheque wherein name of the account holder is printed or copy of bank pass book

 

Non Employer Employee Policies: Lender Borrower & Non Lender Borrower Relationships:

• Insurance certificate
• Original/attested copy of death certificate issued by local municipal authority
• Claim form (Lender Borrower/Non Lender Borrower) as applicable
• NEFT mandate form attested by bank authorities along with a cancelled cheque or bank account passbook

 

Additional documents required on basis of cause of death

• Medical/Natural death:
  • Attending physician's statement (Form 'C')
  • Medical records (admission notes, discharge/death summary, test reports etc.)
• Accidental/ Unnatural death:
  • Copy of First Information Report (FIR) or Panchanama/Police complaint
  • Copy of Post Mortem Report (PMR)/Autopsy and Viscera report
  • Copy of Final Police Investigation report (FPIR)/Charge sheet

 

Pradhan Mantri Jeevan Jyoti Bima Yojana

Click here to download the Group claim forms

• Cancer Insurance Claim Form - Form CA
• NEFT Form

 

Click here to download the cancer claim forms