Checklists

CHECK LIST FOR PENSION CASES

 A. FOR RETIREMENT CASES[Form numbers as laid down in CES (Pension)’s Rules, Swamy’s compilation]

1. Form 3 showing details of Family.

2. Form 5 Application for pension.

3. Form 7 Form for assessing Pension/Family Pension and gratuity.

4. Service Book duly completed as on date of submission.

5. Two-specimen signature duly attested by a Gazetted Officer or Two slips bearing the left thumb and finger impression duly attested by a Gazetted Officer in case the pensioner is not literate enough to sign his/her name.

6. Two copies of passport size photograph with wife or husband (either jointly or
   Separately) duly attested by Head of the Office.

7. Two slips showing the particulars of height and identification marks duly attested by a Gazetted Officer.
   

8. In case of revision in pay causing revision in Pension, Gratuity, Commutation etc revised fixation of Pay along with calculation sheet of pension etc. should be submitted along with payment sanction authority.
   
   All relevant documents may be countersigned by the GMT/TDM as the case may be in token of acceptance of the statement/ documents etc. unless any subordinate officer is declared as “Head of the Office” .
   

(Form 3, Form 5, Part I of Form 7, documents at several serial 5, 6,7 above)

B. FOR DEATH CASES

IN CASE OF DEATH OF A GOVERNMENT SERVANT FOLLOWING SHOULD BE SUBMITTED TO COMMUNICATION ACCOUNTS OFFICE THROUGH AO (TA) OF THE SSA CONCERNED. ALL DOCUMENTS ARE TO BE COUNTERSIGNED BY HEAD OF THE OFFICE OR ANY OTHER OFFICER SO ENTRUSTED BY HEAD OF THE OFFICE.

1. Form 14 -- Application for grant of Family Pension.

2. Form 12 – Application for grant of death gratuity.

3. Form 18 – For assessing and authorishing payment of family pension and death gratuity when a govt. servant dies while in service.

4. Service Book indicating date of death.

5. Two specimen signatures or left hand thumb and finger impression of the claimant or guardian ( in case of minor) duly attested.

6. Two copies of passport size photographs of the claimant or guardian duly attested.

7. Two copies of descriptive roll of the claimant or guardian duly attested indicating height and personal marks.

8. Postal Address of the claimant.