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EPFO Forms

FORMS FOR CLAIMING BENEFITS UNDER THE EMPLOYEES' PROVIDENT FUND SCHEME

FORM NO.

PURPOSE

   

13
(revised)

For transferring the Provident Fund account of a member from one establishment to another establishment covered under the act / scheme.

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14.

Application for financing a life insurance policy out of Provident Fund account.

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19.

To be submitted by a member to withdraw his Provident Fund dues on leaving service/retirement/termination.

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20.

In the event of death of member, this form is to be used by a nominee / family member to claim the member's Provident Fund accumilation.

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31.

 For the use of Provident Fund members to avail advances / withdrawals as provided in the scheme.

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Declaration to be submitted along with Form 31


FORMS FOR CLAIMING BENEFITS UNDER THE EMPLOYEES' PENSION SCHEME '95

FORM NO.

PURPOSE

   

10-C

For claiming :
- Refund of Employer share.
- Withdrawl benefit
- Scheme certificate for retention of membership

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10-D

To be submitted by the first claimant i.e.
- member or
- widow/widower or
- orphan or
- nominee as the case may be

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Certificate to be submitted by pensioner
(Life Certificate/Non Re-Marriage Certificate)

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FORMS FOR WITHDRAWAL OF INSURANCE FUNDS BENEFITS UNDER EMPLOYEES' DEPOSIT LINKED INSURANCE SCHEME, 1976

FORM NO.

PURPOSE

   

5(I.F.)

To be preferred by the person eligible to receive the Employees' Provident Fund dues of the deceased member who died while in services.

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GENERAL

FORM NO.

PURPOSE

   

Statement IW - 1

Statement of Employees qualifying for membership as International Workers

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Advance Stamped Receipt

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