LIC Claim Form A No 3783 Application Form PDF Download

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LIC’s Pensioner’s Page
Claims Under Regular Life Insurance Policies
01. Death Claims:
The person legally entitled to receive the policy monies should give intimation of death of the policyholder to the servicing Branch. The requirement for the claim are as given below:

Claim Form ‘A’ in Form No.3783.

1. Claim Form ‘A’ in Form No.3783.
   If policy has run for 3 years or more from date or risk, claim form no.3783A may be used.
2. Certified extract from death register.
3. The original policy document with Deed/s of assignment/s, if any. (Additional requirement may be required under a policy according to the status of the policy. Please contact our servicing Branch for details).

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