APGLI related all forms download:
APGLI to Enhance Premium:
1. Enhancement Proposal form with DDO sign
2. Good Health certificate with Assistant civil surgeon (Doctors) sign
3. Non availment of Medical leave certificate for 3 years with DDO sign....
4. Previous Bond xerox
5. Covering letter by DDO.
2) Mobile Number.
3) Xerox copy of First page of Salary Bank Account Pass Book to be enclosed to the application
APGLI to Enhance Premium:
1. Enhancement Proposal form with DDO sign
2. Good Health certificate with Assistant civil surgeon (Doctors) sign
3. Non availment of Medical leave certificate for 3 years with DDO sign....
4. Previous Bond xerox
5. Covering letter by DDO.
- Download Covering Letter for APGLI Proposals
- Download Proposal form Fresh / Enhancement
- Download Good Heath Certificate
- Non-Availment of Medical Leave Certificate
- For clearance of missing credits, the subscriber has to submit the places of posting with deduction particulars such as Month, Amount of Premium/Loan Instalment, Token Number/Voucher Number, Total Amount of APGLI schedule attested by the DDO.
- In case of challan remittance, the subscriber has to submit the places of posting with the deduction particulars such as month, amount of Premium / Loan Instalment, Challan number. Challan amount and date attested by DDO, along with full details of Policy numbers and names of the employees for whom the challan is paid.
- The Drawing Officers have to verify the correctness of the APGLI policy numbers in the schedules with reference to the policy bonds issued by the Department. If wrong Policy numbers are quoted in the schedules, the premium cannot be posted to the individual accounts and missing credits will arise.
- The correct policy numbers once recorded in the schedules should not be changed every month.
- The employees also have to verify the correctness of their policy numbers mentioned in the monthly schedule at least once in a year.
- The policy number may be recorded in the first page of SR (Service Register) of the employee as a permanent record.
- The Drawing Officers may depute the concerned establishment staff to the respective District Insurance Office for updation of premiums in case of missing credits.
Applications for Loan / Settlement of Claims:
All the Policy Holders are hereby requested to submit the following information while submitting applications for sanction of Loan/Settlement of Claim cases for making payment online & sending SMS.
1) Employee I.D Number.2) Mobile Number.
3) Xerox copy of First page of Salary Bank Account Pass Book to be enclosed to the application
Otherwise such applications will be objected without processing in future.
Download Loan Application Form
Download Refund Form (Other than Death Claim)
Download Refund Form (Death Claim)
Download Departmental Information Form (For Death Claims)
Download Death Certificate (Insurance)
Download Affidavit (Insurance)
Download Guardianship Declaration Certificate
Download Nomination Form (Insurance)
Download Indemnity Bond