LIC Declaration of Health and Accident Benefit
This file details the Declaration of Health and Risk for Accident Benefit with LIC. It outlines the necessary information about the policy, health declaration, and risk factors. Users can refer to this document for guidance on accident benefits and related policies.
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How do I fill this out?
To fill out this form, carefully read each section and provide accurate information. Ensure that all required fields are filled in completely to avoid delays. Review your entries before submitting to confirm everything is correct.

How to fill out the LIC Declaration of Health and Accident Benefit?
1
Read the form thoroughly to understand the requirements.
2
Fill in your personal details and policy information accurately.
3
Declare any existing health conditions or risks.
4
Sign the form at the designated areas.
5
Submit the form to the appropriate LIC office or online portal.
Who needs the LIC Declaration of Health and Accident Benefit?
1
Individuals applying for life insurance with accident benefits.
2
Policyholders looking to update their health declarations.
3
Those who have sustained an accident and need to file a claim.
4
Individuals seeking to enhance their insurance coverage.
5
Insurance agents assisting clients in filling out the form.
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What are the instructions for submitting this form?
To submit this form, visit your nearest LIC branch or send it via email to the assigned service representative. You may also fax your completed form to the LIC office. For additional convenience, ensure to confirm the specific submission process related to your policy via the LIC customer service line.
What are the important dates for this form in 2024 and 2025?
There are no specific important dates for this form in 2024 and 2025. However, policyholders should submit their forms promptly to ensure timely processing of insurance benefits.

What is the purpose of this form?
The purpose of this form is to enable policyholders to declare their health status and any risks associated with their life insurance policy. Accurately filling out this form ensures that the insurance company has the necessary information to assess the risk and provide appropriate coverage. It also facilitates the implementation of accident benefits, ensuring that claims can be processed swiftly in case of an incident.

Tell me about this form and its components and fields line-by-line.

- 1. Policy No.: The unique number identifying your life insurance policy.
- 2. Present Occupation: Your current job or occupation.
- 3. Health Declaration: Information regarding your health status.
- 4. Signature of Policy Holder: Your signature or thumb impression.
What happens if I fail to submit this form?
If this form is not submitted, the policy may not be activated, which could lead to a lapse in coverage. Additionally, any claims related to an accident benefit may be denied due to incomplete application details.
- Lapse in Coverage: Failure to submit the form can lead to a gap in your insurance coverage.
- Claim Denial: Incomplete information may result in denial of accident benefits.
- Policy Cancellation: Non-submission of required documents could lead to policy cancellation.
How do I know when to use this form?

- 1. Initial Policy Application: Required for new applicants seeking accident benefits.
- 2. Policy Updates: Necessary for existing policyholders when updating health status.
- 3. Claim Filing: Critical for filing claims associated with accidents.
Frequently Asked Questions
How do I fill out this LIC Declaration form?
To fill out the LIC Declaration form, read each question carefully and provide accurate details regarding your health and insurance policy.
Can I edit the PDF online?
Yes, you can edit the PDF directly on PrintFriendly using our intuitive editing tools.
What if I made a mistake on the form?
You can easily correct any mistakes using the editing features before downloading your final document.
How do I submit the Declaration form?
Once filled, submit the form as per LIC's submission guidelines via email or physical delivery.
Is my personal information secure?
Your personal information is securely edited and saved while using our platform.
How can I share the completed form?
You can share the completed form via email or by generating a shareable link.
What happens if I forget to sign the form?
Ensure you sign the form as it is a critical part of the submission process. You can do this digitally on PrintFriendly.
Can I download the form after editing?
Yes, you can download the form after making your edits.
Do I need an account to edit the form?
No, you can edit and download the form without needing to create an account.
What types of edits can I make?
You can edit text, images, and signatures on your PDF using our tools.
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