Establishment Branch

Pension / Family Pension & GPF Form's

List of Documents (3 Sets each) required from the Retiree/Pensioner/ Family Pensioner for processing the Pension under CCS (Pension), Rules, 2021



A : On Superannuation/ VRS/ Resignation/Cessation of service Cases


S.No Form No Description File Format
1 Form 6 Particulars to be obtained by the Head of Office from the retiring /retired Govt. servant.
2 Enclosures of   Form -6 as above
i Form 8 Form of Application if a family member is proposed to be co-authorised for family pension
ii Form 4 Details of Family. (Supporting Documents i.e. Aadhaar Card /proof of DOB etc.)
iii Format- 9 Undertaking for refunding any excess payment made by the pension disbursing bank.
iv Form 3 Nomination for Gratuity, Central Government Employees’ Group Insurance Scheme and General Provident Fund in Common Nomination Form
v Form A Nomination for arrears of pension and commuted value of pension (if applied for commutation of pension) in common nomination form
vi Form 1 Form of application for commutation of a percentage of Pension without medical examination payment through pension disbursing authority
vii Form 1 A Form of application for commutation of a percentage of Pension without medical examination payment through PPO
viii Format 1 An Undertaking by Government servant regarding not to disclose or publish of information regarding organisation
ix Two specimen signatures (to be furnished in a separate sheet).
x Six copies of Joint photograph with spouse
xi Three copies of photograph of the member or members of the family
xii Form of option for availing Medical facilities ( Under DGEHS to retired employees/ family pensioners)
xiii Photocopy of the first page of Pass Book of the Bank Account , Cancelled Cheqe with BSR Code certified by the concerned bank Note:- Joint Account Preferable, Primary Account- Pensioner)
xiv Copy of PAN Card (Self & Spouse)
xv Declaration of non-receipt of any Pension or Gratuity under article No.911,CSR & article No.920(1) CSR
xvi Application for drawal of Pension through Public Sector Banks
xvii Undertaking to handover PPO to Pension/Family Pensioner through DDO/HO in terms of OM of DP & PW, GoI dated 07/05/2014
xviii Declaration regarding to refund of any Excess Payment authorized by PAO concerned
3 PENSION FORMS to be prepared by the office itself:-
i Format 10 Letter to the Accounts Officer forwarding the papers for Pension/Family Pension
ii Form 7 with Calculation Sheet Form of assessing Pension/Family Pension & Gratuity
iii Format 4 Format for certificate of Verification of Service for Pension & Gratuity

B : Family Pension in cases of Death/Missing of Govt. Servant :-


S.No Form No Description File Format
1 Form 9 Particulars to be obtained by the Head of Office from the retiring /retired Govt. servant.
2 Form 10 Form of Application to the Head of office on death of Govt. servant Or Pensioner or on death of ineligibility of family pension on death of family pensioner or family pensioner
3 Form 11 Form for Assessment & Authorization of payment of Family Pension & Death Gratuity
4 Form 12 Form of Application to be submitted to Pension Disbursing Authority By Spouse or co-authorised family member for commencement of Family pension
5 Form 13 Form of Application for the Grant of Residuary Gratuity on death of Pensioner
6 Format 11 Format of Letter to the Nominee or member of family for Grant of Death Gratuity
7 Format 12 Format of Letter to the Nominee or member of family for Grant of Family Pension
8 Format 13 Format of letter sanctioning of family pension

C : Miscellaneous Forms


S.No Form No Description File Format
1 Form 1 Form for Permission to Central Services Officers to accept commercial employment within a period of one year after retirement
2 Form 2 Form for Processing requests of pensioners for permission to accept commercial employment after retirement
3 Form 5 Form for Intimation regarding marriage/birth of a child after retirement
4 Form 7 A 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
5 Format 2 Format of Sanction for instituting departmental proceedings after retirement
6 Format 3 Format of Memorandum for instituting departmental proceedings after retirement
7 Format 5 Format for Relieving order on joining a State Government or Corporation or Company or Body on immediate
8 Form 2 CVP Form of application for commutation of pension after medical examination
9 Form 3 CVP Form of Letter of the Chief Administrative Medical Authority
10 Form 4 Medical Examination by the Medical Authority
11 Format 7 Format of Indemnity Bond by Guardian for payment of gratuity to minor
12 Format 8 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

D : G.P.F. Final Payment / Transfer of balances Cases


S.No Form No Description File Format
1 Form 1 Form to be used by Head of Officer for Final Payment/Transfer of balance in G.P.F. to Autonomous Bodies/Other Organisation
2 Form 2 Form of Application for final payment of balance in the Provident Fund Account on death of Subscriber alongwith relevant enclosures as mentioned in the form
3 Three specimen Signatures of the retiring employee/ claimant
4 An undertaking to Refund of any Excess Payment
5 All G.P.F. Pass Books with upto date Entries
6 Last 05 Years Annual G.P.F. Account Statement
7 Photocopy of the First Page of Pass Book of the Bank Account, Cancelled Cheque