Death Claim

The death claim amount is payable in case of policies where premiums are paid up-to-date or where the death occurs within the days of grace.

On receipt of intimation of death of the Life Assured the Branch Office calls for the following requirements:

a) Claim form A Form No 3783 A – Claimant’s Statement giving details of the deceased and the claimant. 

b) Certified extract from Death Register 

c) Documentary proof of age, if age is not admitted 

d) Evidence of title to the deceased’s estate if the policy is not nominated, assigned or 
issued under M.W.P. Act. 

e) Original Policy Document 

f) NEFT Form

g) Cancelled cheque having all bank details with name OR  Copy of bank passbook

h) Claimant's KYC 

Please contact servicing branch office to know more detail

Click here to download Claim form A Form No 3783 A 

The following additional forms are called for if death occurs within three years from the date of risk or from date of revival/reinstatement.

a) Claim Form B – Medical Attendant’s Certificate to be completed by the Medical Attendant of the deceased during his/her last illness 

b) Claim Form B1 – if the life assured received treatment in a hospital 

c) Claim form B2 – to be completed by the Medical Attendant who treated the deceased life assured prior to his last illness. 

d) Claim Form C – Certificate of Identity and burial or cremation to be completed and signed by a person of known character and responsibility 

e) Claim form E – Certificate by Employer if the assured was employed person. 

f) Certified copies of the First Information Report, the Post-mortem report and Police Investigation Report if death was due to accident or unnatural cause. 

These additional forms are required to satisfy ourselves on the genuineness of the claim, i.e., no material information that would have affected our acceptance of proposal has been withheld by the deceased at the time of proposal. Further, these forms also help us at the time of investigation by the officials of the Corporation.

Please contact servicing branch office to know more detail

Click here to download Claim Form B 1  Form No 3816

Click here to download Claim Form C Form No 3785