Pension Section

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

Office  Orders

       Office order reg. revised Pension  forms and formats as per CCS(Pension) Rules dated 23.08.2022

       Form for Dependents

       Form for Retiring Employees



Particulars of Form/Format

Remarks

Indemnity Bonds

1. Format of Indemnity Bond by Guardian for payment of gratuity to minor.

Format–7

2. Format of Indemnity Bond to be furnished by a claimant of Gratuity or Family Pension in the case of a missing Government Servant or Pensioner or Family Pensioner.

Format–8

Nomination Forms

1. Common Nomination Form for Gratuity, General Provident Fund and Central Government Employees’ Group Insurance Scheme.

Form–3

2. Common Nomination Form for Arrears of Pension and Commutation of Pension.

Form–A

Declaration Forms

1. Details of Family.

Form–4

2. Format of Undertaking by Government servants who have worked in any Intelligence or Security-related organisation.

Format–1

3. Format for Certificate of verification of Service for Pension and Gratuity.

Format–4

4. Format for Undertaking for bank to refund excess payment.

Format–9

5. Form of Life certificate to be submitted by pensioner once a year.

 

6. Form of Non-employment /re-employment certificate to be given by pensioner (retired Group 'A' Officers).

 

7. Form of Certificate of re-marriage/ marriage to be submitted regularly by the recipient of family pension.

 

8. Form of Declaration by former Member of Parliament (MP) for drawl of pension.

 

9. Form of Certificate of expenditure by former President/ Vice-President.

 

10. Life Certificate 2022-23 for Pensioners
 

Medical Forms

1. Format of medical certificate.

Format–6

2. Form of Letter to the Chief Administrative Medical Authority for medical examination in connection with the commutation of pension.

Form–3

3. Form to be used by the Medical Board when reporting on injuries/ disease/death.

 

Forms for Offices

1. Form for Particulars to be obtained by the Head of Office from the retiring/retired Government Servant.

Form–6

2. Form for Assessing Pension/ Family Pension and Gratuity.

Form–7

3. Form for Assessing Pension/Family Pension and Gratuity in respect of a Government servant against whom departmental or judicial proceedings were pending at the time of retirement and to whom provisional pension was sanctioned in accordance with Rule 8.

Form–7A

4. Form for Assessment and Authorisation of Payment of Family Pension and Death Gratuity when a Government Servant dies or goes missing while in Service.

Form–11

5. Format of Sanction for instituting departmental proceedings after retirement.

Format–2

6. Format of Memorandum for instituting departmental proceedings after retirement.

Format–3

7. Format for Relieving order on joining a State Government or Corporation or Company or Body on immediate.

Format–5

8. Format of Letter to the Accounts Officer forwarding the papers for pension/ family pension and gratuity of a Government Servant.

Format–10

9. Format of Letter to the nominee/ member of family of a deceased/missing Government Servant for grant of gratuity.

Format–11

10. Format of Letter to family member of a deceased/ missing Government servant for grant of Family Pension.

Format–12

11. Format of Letter sanctioning Family Pension when a Pensioner dies/ goes missing or a Family Pensioner dies/ ceases to be eligible/ goes missing.

Format–13

12. New FMA Form.

 

Application/Claim Forms

1. Form for Permission to Central Services Officers to accept commercial employment within a period of one year after retirement.

Form–1

2. Form for Processing requests of pensioners for permission to accept commercial employment after retirement.

Form–2

3. Form For Intimation regarding marriage/birth of a child after retirement.

Form–5

4. Form for Application for Particulars to be obtained by the Head of Office from the retiring/retired Government Servant.

Form–6

5. Form of Application by a Government servant/pensioner or his/her spouse for including /co-authorisation of names of permanently disabled child/dependent parents/disabled sibling as family pensioner in the Pension Payment Order.

Form–8

6. Form for Application for the Grant of Gratuity in respect of a deceased/missing Government Servant.

Form–9

7. Form for Application to the Head of Office for Family Pension on Death of a Government Servant or Pensioner or on Death or Ineligibility of a Family Pensioner or when a Government Servant or Pensioner or Family Pensioner goes missing.

Form–10

8. Form of Application to be submitted to Pension Disbursing Authority by spouse/co-authorised family member for commencement of family pension on death of a pensioner or family pensioner.

Form–12

9. Form of Application for the Grant of Residuary Gratuity on the Death of a Pensioner.

Form–13

10. Form of Application for disability pension under CCS (Extraordinary Pension) Rules.

Form–A

11. Form of application for family pension under CCS (Extraordinary Pension) Rules.

Form–B

12. Form of Application for switch over of pension payment through authorised Bank.

 

13. Form of application for revision of family pension as on 01/01/1996.

 

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