Death Claim Tutorial_Final-2
Death Claim Tutorial_Final-2
file a EPF
death claim
(CCF)
P R E PA R E D B Y : E P F O ,
REGIONAL OFFICE,
BENGALURU (CENTRAL)
Type of claim : Composite Claim Form (CCF)
❖ Col 3 : Furnish Father’s name and Spouse name of deceased member (Ensure
that it is matching with data available with EPFO. If not matching, Joint
Declaration Form signed by claimant and employer along with documentary
proof may be submitted for correcting the same)
❖ Col 9 : Date of Death of the member – Should be matching with Date in Death
Certificate.
❖ Col 11 : Enter all required details of ALL ELIGIBLE CLAIMANTS (as in SFC) in the
table provided. NO COLUMN SHOULD BE LEFT BLANK.
❖ Col 12 : Enter BANK DETAILS of all claimants for PF & EDLI. For PF and EDLI, any
Scheduled Bank (including Co-operative Banks) is allowed. NO COLUMN
SHOULD BE LEFT BLANK. The name in enclosed cheque leaf/ pass-book should
be matching with that mentioned in claim.
➢ If the pension disbursing bank branch is outside Bangalore, get the list of
approved banks for the particular region at:
https://www.epfindia.gov.in/site_docs/PDFs/MiscPDFs/EPS1995_PensionDisbursin
gAgenciesList.pdf.
✓ Employer’s (Authorised Signatory) name & signature along with seal of company.
✓ For dependent parent pension in case of unmarried member’s death and if one
of the parents had also expired, the Death Certificate in respect of the deceased
parent is also required to be submitted
✓ Employer to ensure that Date of Joining and Date of Leaving/ Death has been
updated and correctly available in EPFO database.
Please Note : A nomination filed before marriage becomes invalid once he/ she gets
married. A fresh nomination was required to be filed.
Prepared by : EPFO, Regional Office, Bengaluru (Central)
Documents to be enclosed along with the claim
❖ ORIGINAL Death Certificate. Certificate downloaded from Govt./ Corporation
websites are accepted.
❖ Three (03) passport sized Joint/ Single photographs of all the PENSION claimants –
Widow/ Widower/ eligible children/ dependent parents for unmarried members, duly
attested by the employer mentioning PF account number/ UAN behind the photos.
❖ Date of Birth proof (Education Cert./ Birth Certificate/ Passport) of all children
claiming pension duly attested by employer
❖ Cancelled cheque-leaf bearing name, account number and IFSC or attested copy of
first page of bank Pass Book with all said details clearly visible.
➢ Ex1: DoJ : 01.07.2015; DoDeath : 25.07.2020. NEC required for period of non-employment upto
30.06.2015
➢ Ex2 : DoJ : 01.07.2015 (including some previous transfer-in); DoExit : 31.03.2018; DoDeath :
25.07.2020; NEC required for period upto 30.06.2015 and for the period 01.04.2018 to 25.07.2020.