
Get the free Revised Claim cum Discharge Form PMJJBY
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PRADHAN MANTRA JEEVAN KYOTO LIMA JANA (PHILBY)
CLAIMCUMDISCHARGE FORM
(To be submitted preferably within 30 days of death of insured member)
To be filled by the nominee
(or in case the nominee is
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How to fill out revised claim cum discharge

How to fill out revised claim cum discharge
01
Gather all the necessary documents and information related to the claim.
02
Download the revised claim cum discharge form from the official website or obtain a physical copy.
03
Fill out the personal details section of the form, including your name, address, contact information, and policy details.
04
Provide a detailed description of the claim, explaining the circumstances and events leading to the claim.
05
Attach supporting documents such as medical records, invoices, receipts, or any other relevant proof of expenses.
06
If applicable, include details of any previous claim made related to the same incident.
07
Carefully review the filled-out form for accuracy and completeness.
08
Sign and date the form, certifying that all the information provided is true and accurate.
09
Submit the revised claim cum discharge form along with the supporting documents to the appropriate authority or insurance company.
10
Keep a copy of the filled-out form and supporting documents for your records.
Who needs revised claim cum discharge?
01
Anyone who wishes to make changes or updates to an existing claim or discharge form.
02
Policyholders who have encountered new information or circumstances that require revising their original claim or discharge form.
03
Individuals who need to provide additional supporting evidence or documentation for their claim.
04
Insurance company representatives or authorities who handle and process claims.
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What is revised claim cum discharge?
Revised claim cum discharge is a formal document used to amend a previously filed claim and formally discharge any further liabilities related to that claim.
Who is required to file revised claim cum discharge?
Entities or individuals who wish to correct or update information in their previously submitted claims are required to file revised claim cum discharge.
How to fill out revised claim cum discharge?
To fill out revised claim cum discharge, carefully provide the correct details of the claim being amended, including any additional information, corrections, and the reason for the revision.
What is the purpose of revised claim cum discharge?
The purpose is to ensure accurate representation of the claim and to formally release the relevant authorities from any future claims concerning the matter.
What information must be reported on revised claim cum discharge?
Information such as the claim number, details of the original claim, amendments being made, and the rationale for these changes must be reported.
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