Toggle navigation
Home
Why Join LIC?
Agent Benefits
Procedure
Apply for Agency
Contact Us
Downloads
Home
Download
LIC Forms
LIC (New Business)
All New Business (NB) Forms
Download All New Business (NB) forms
Proposal Forms
Proposal for Insurance under Jeevan Akshay-II
LIC Form No. 300
LIC Form No. 340
LIC Form No. 360
Health Insurance Forms
Claim Form
Claim Intimation Form
DTB Claim Form
DTB Discharge Form
Hospital treatment Form
Annexure of Documents
NEFT Mandate Form
A. General Forms
POLICY EXTRACT FROM PREVIOUS /PROPOSAL PAPERS
CONSENT FORM FOR CORRECTIONS/EXTRA
RE-CHECK OF MEASUREMENTS
PERSONAL FINANCIAL QUESTIONNAIRE
CERTIFICATE OF AGRICULTURAL INCOME
CHARTERED ACCOUNTANT'S CERTIFICATE
SPL MHR- ANNEXURE A
SPL MHR- ANNEXURE B
SPECIAL MHR FOR WIDOWS
APPLICATION FOR FINANCING POLICY FROM EPF
EPF ASSIGNMENT FORM
B. Addendums
Addendum For Multiple Proposals
Addendum For Multiple Previous Policies
Addendum For Dab If Sa Is More Than 25 Lacs
Addendum To Minor/major Students Proposals
Addendum To Proposal For Congenital Disability Benefit Rider
Addendum To Proposal -cat-i Female Life
Addendum – Huf Policies
Addendum For Sss
SSS Clause 22 Consent
C. Age Declaration
Self Declaration Of Age
Annexure-A
D. Medical Questionnaires
Additional Form For Asthma/bronchitis
Ulcer Questionnaire- With Operation
Ulcer Questionnaire - Without Operation
Kidney Disease, Colic Or Stone Etc
Gall-bladder Disease
Goitre Questionnaire (with Operation)
Goitre Questionnaire (w/o Operation)
FILARIASIS QUESTIONNAIRE
Chest Pain Questionnaire
Cns Questionnaire
Tuberculosis Questionnaire
Pleurisy Questionnaire
Epilepsy Questionnaire
Deformity Questionnaire
Hernia Questionnaire
Hearing/ent Questionnaire
High BP Questionnaire
Diabetes Questionnaire
E. Occupational Questionnaires
General Occupation Questionnaire
Army Personnel Questionnaire
Aviation (armed Services) Questionnaire
Aviation (civil) Questionnaire
Civil Gliding Questionnaire
Navy Personnel Questionnaire
Diving (armed/comml) Questionnaire
Merchant Marine Questionnaire
F. Business/NRI Questionnaires
Employer-employee Questionnaire
Anx-A-Keyman( Resolution)
Anx-B - Keyman Questionnaire
Anx-C – Keyman Declaration For Assignment
Supplementary Deed Of Partnership
Mail Order Procedure
Mail Order Business - ACR / MHR
Annexure For Mail Order
NRI - Questionnaire
NRI - Conditions
G. Medical Reports Forms
Data Sheet For Tpa Medical
Fluoroscopic Examination
Glucose Tolerence Test (GTT) Of Urine
X-ray Of Genito Urinary Tract (G U T) Kub Area
Stomach & Duodenum (Barium Meal)
X-ray - Caecum And Colon (Barium Enema)
Intravenous Pyelography
Cholecystography
Sputum Examination
Stool Examination
Special Blood Sugar Test (BST)
Gynaecologist Report
Electrocardiogram
Treadmill Test- CTMT
Haemogram
Lipidogram
Blood Sugar Test (BST)
Routine Urine Analysis (RUA)
Chest X-ray
Elisa For HIV
Physician's Report
SBT-13
Ophthalmic Report
Juvenile FMR
Format For Identification By TPA With Computerized Reports
H. General Forms
SSS Introduction - Employer's Letter
SSS Introduction - Questionnaire By Employer
SSS Introduction - Report By SBM/ABM(s)
DGH – Major Lives – New Proposal
DGH- Major Lives - Revival
DGH – Minor Lives- Age 10 And Above – New/Revival
DGH – Minor Lives- Up To Age 9 – New/revival
Direct Debit Form For Icici And Corporation Bank
NEFT Form For Direct Credit To Bank Account
Declaration To Be Given By Nepali Proposers
Authorisation Letter To Receive Policy Bond
LIC (Policy Servicing)
Mandate Forms
Mandate form for LICI premium by ECS
Revival Forms
Revival of Lapsed Policy- Form no. 680
Revival of Lapsed Policy- Form no. 700
Revival of Lapsed Policy- Form no. 720
Application Form For Annuity Card
For annuitants of Mumbai P & GS UNIT
Click here to download (Page 1)
Click here to download (Page 2)
Other Forms
IPP-ECS Mandate Form
IPP-NEFT MANDATE FORM
Certificate of Existence
IPP-Letter of Indemnity
Neft Mandate Form
LIC (Claims)
Claims Under Regular Life Insurance Policies
Death Claim
Claim Form 'A' in Form No.3783
Claim From no.3783(A)
Maturity Claims
Form No. 3825 (PDF Format)
Survival Benefit Claims forms
Form No.5180 (PDF Format)