Pension Section

Forms for Downloading

These forms also available at http://pensionersportal.gov.in under Circulars/Forms section

Indemnity Bonds

  1. Form of indemnity bond for missing family pensioner
  2. Form of indemnity bond for missing Government servant
  3. Form of indemnity bond for missing pensioner
  4. Form of indemnity bond to be produced by a defacto guardian of minor for payment of death or retirement gratuity to the extent of Rs 10,000

Nomination Forms

  1. Common Nomination Form for Arrears of Pension and Commutation of Pension - Form A
  2. Common Nomination Form for Gratuity, General Provident Fund and Central Government Employees' Group Insurance Scheme - Form 1

Declaration Forms

  1. Details of family - Form 3
  2. Form of certificate of expenditure by former President or Vice-President.
  3. Form of certificate of re-marriage or  marriage  to be submitted regularly by the recipient of family pension.
  4. Form of certificate of verification of service for pension - Form 24
  5. Form of declaration by former Member of Parliament for drawl of pension.
  6. Form of life certificate to be submitted by pensioner once a year.
  7. Form of non-employment or re-employment certificate to be given by pensioner -retired Group A Officers.
  8. Life Certificate for Pensioners

Medical Forms

  1. Form of Letter to the Chief Administrative Medical Authority for medical examination in connection with the commutation of pension - Form 3
  2. Form of medical certificate.
  3. Form to be used by the Medical Board when reporting on injuries or disease or death.

Forms for Offices

  1. Form for assessing and authorising the payment of family pension and death gratuity when a Government servant dies while in service - Form 18
  2. Form for assessing pension or  family pension and gratuity - Form 7.
  3. Form for obtaining particulars by the Head of Office  from retiring goverment servant eight months before the date of his or her retirement  - Form 5.
  4. Form of letter sanctioning Family Pension to a member (other than spouse) on death of a retired Government servant - Form 20.
  5. Form of letter sanctioning Family Pension to another member of family on death or ineligibility of a recipient of Family Pension - Form 21
  6. Form of letter to the Accounts Officer forwarding papers for the grant of family pension and death gratuity to the family of a Government servant who dies while in service - Form 19.
  7. Form of letter to the Accounts Officer forwarding the pension papers of a Government servant - Form 8.
  8. Form of letter to the member or members of the family of deceased Government servant where valid nomination for the death gratuity does not exist - Form 11
  9. Form of letter to the member or members of the family of deceased Government servant where valid nomination for the grant of the death gratuity exists - Form 10
  10. Form of letter to the widow or widower of deceased Government servant for grant of family pension - Form 13.
  11. New FMA form

Application/Claim Forms

  1. Form for obtaining particulars by the Head of Office  from retiring goverment servant eight months before the date of his or her retirement  - Form 5.
  2. Form of application for the grant of death gratuity on the death of a Government servant - Form 12
  3. Form of application for endorsement of particulars of spouse from post-retiral marriage and children born after retirement in the PPO
  4. Form of application for disability pension under CCS (Extraordinary Pension) Rules - Form A
  5. Form of application for family pension under CCS (Extraordinary Pension) Rules - Form B
  6. Form of application for permission to Central Services officers to accept commercial employment with in a period of one year after retirement - Form 25.(Form 25 is under revision)
  7. Form of application for revision of family pension as on 1.1.96
  8. Form of application for switch over of pension payment through authorised Bank
  9. Form of application for the grant of family pension on the death of Government servant or pensioner or  family pensioner - Form 14
  10. Form of application for the grant of residuary gratuity on the death of a pensioner - Form 22

Commutation Forms

  1. Form of application for commutation of a percentage of pension without medical examination and receipt of payment thereof through the pension disbursing authority - Form 1
  2. Form of application for commutation of a percentage of superannuation pension without medical examination when the commuted value of pension is to be authorised through PPO - Form 1A
  3. Form of application for commutation of pension after medical examination - Form 2
  4. Form of Letter of the Chief Administrative Medical Authority - Form 3.
  5. Medical Examination by the Medical Authority - Form 4
  6. Form for Nomination under CCS (Commutation of Pension) Rules 1981 - Form 5.
  7. Form of application for restoration of commuted portion of pension