Download Forms
New Business
Proposal forms
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
(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
- 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