Edit, Download, and Sign the PNB MetLife PMJJBY Claim-cum-Discharge Form

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How do I fill this out?

To fill this form effectively, ensure that you have all the required details and supporting documents ready. Review each section carefully and fill in the information accurately. Detailed instructions will be provided in the following sections.

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How to fill out the PNB MetLife PMJJBY Claim-cum-Discharge Form?

  1. 1

    Gather all necessary documents and information as listed in the form.

  2. 2

    Fill in the personal details of the deceased member in Part 1.

  3. 3

    Complete the nominee details in Part 2.

  4. 4

    Provide the necessary certifications and proofs in Part 3.

  5. 5

    Ensure all declarations are signed and submit the form to the relevant office.

Who needs the PNB MetLife PMJJBY Claim-cum-Discharge Form?

  1. 1

    Nominees of the deceased insured under PMJJBY to claim insurance benefits.

  2. 2

    Legal heirs of the deceased in absence of a nominee.

  3. 3

    Bank or post offices handling the claim processing.

  4. 4

    Insurance companies validating the claims.

  5. 5

    Individuals responsible for submitting and verifying claim documents.

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    Select the PDF editor tool.

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  5. 5

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What are the instructions for submitting this form?

Submit the completed form along with required documents to the nearest PNB MetLife branch or authorized bank/post office. You can email the scanned copies to indiaservice@pnbmetlife.co.in, or send by fax to +91-22-41790203. Physical submissions can be sent to PNB MetLife India Insurance Company Limited, 1st Floor, Techniplex -1, Techniplex Complex, Off Veer Savarkar Flyover, Goregaon (West), Mumbai - 400062. My advice is to ensure all information is accurate and documents are correctly attached to avoid any delays.

What are the important dates for this form in 2024 and 2025?

Ensure to submit the form preferably within 30 days of the insured member's death. Contact PNB MetLife for any specific deadlines related to your claim.

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What is the purpose of this form?

The PNB MetLife PMJJBY Claim-cum-Discharge Form is designed to facilitate the settlement of claims under the Pradhan Mantri Jeevan Jyoti Bima Yojana (PMJJBY). This form captures essential details about the deceased insured member, the nominee, and relevant certifications required for the claim process. It aims to ensure a smooth and efficient claims process while providing necessary legal undertakings and declarations from the claimant.

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Tell me about this form and its components and fields line-by-line.

This form consists of multiple sections to capture relevant details for claim processing:
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  • 1. Details of the deceased member: Includes name, address, bank/post office account number, date of death, cause of death, and documents attached as proof.
  • 2. Details of the nominee: Contains nominee’s name, age, relationship with the deceased, contact details, and bank account details.
  • 3. Declaration and Authorization: Includes statements about the truthfulness of the provided information, authorization for document use, and acknowledgments.
  • 4. Bank/Post Office Certification: To be filled by the bank/post office, includes account details, and certification by the authorized official.

What happens if I fail to submit this form?

Failure to submit the form can result in delays or denial of the insurance claim.

  • Delay in Claim Processing: Your claim may not be processed in a timely manner.
  • Denial of Claim: Your claim may be denied if the required form and documents are not submitted.

How do I know when to use this form?

Use this form to claim insurance benefits under the PMJJBY scheme in case of the death of an insured member.
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  • 1. After Death of Insured Member: Initiate the claim process by filling out the form.
  • 2. Nominee Claims: If you are the nominee of the deceased, use this form to claim benefits.
  • 3. Legal Heir Claims: If there is no nominee, legal heirs can use this form for claims.

Frequently Asked Questions

What is the purpose of the PNB MetLife PMJJBY Claim-cum-Discharge Form?

The form is used to claim insurance benefits under the Pradhan Mantri Jeevan Jyoti Bima Yojana for deceased insured members.

Who needs to fill out this form?

The nominee or legal heir of the deceased insured member should fill out this form.

What documents are required to submit along with the form?

Documents such as death certificate, proof of accident (if applicable), KYC documents, and bank account details are required.

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What if I don't have all the required documents?

Ensure you gather all necessary documents before filling out and submitting the form to avoid delays in claim processing.

How long does it take to process the claim once submitted?

The claim processing time may vary. It's advisable to contact PNB MetLife for specific timelines.

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