Employees’ Provident Fund Organisation
(Ministry of Labour & Employment , govt. of India)
Head Office
Bhavishya Nidhi Bhavan, 14- Bhikhaji Cama Place, New Delhi -110066
No. manual/Amendment/2011/Pt/9536
Date: 21 August 2017
To
All addl.CPFC(HQ/Zones),
Regional P.F. Commissioners-Inchangeof
Regional Officers
Sub: Composite Claim Form For Death Case to replace erstwhile Form No. 20,10-D& 5-IF – Revised Claim Form thereof
Ref: HO circular No. Manual /Amendement/2011/163 dated 03.03.2017 (Placed on EPFO website at SI. No. 675 ‘Office order/Circulars for the year 2016-17).
Sir
The Central Provident Fund Commissioner vide order dated 03.03.2017 had introduced Composite Claim Form for Death case by replacing erstwhile claim From Nos.20,10-D AND 5-IF with a view to simplify the submission of claim forms by the subscribers.
- Based on various suggestions the composite claim form for death cases has been reviewed and accordingly a revised Composite claim form for death cases, approved by CPFC , is attached herewith. This claim form shall come into force from the date of issue of this circular.
(This issued with the approval of FA&CAO)
Yours Faithfully,
Encl: As above
(Udita Chowdhary)
Addl., CPFC(F&A)
Download Composite Claim Form in Death Cases
