Different Forms useful for Employees & Head of Office

1-        Forms to be kept in Service Book of the employees:

         (a)    Home Town Declaration Form

( As per OM No 43/15/57-Ests.(A) dated 24.06.1958) (Required under LTC Rules)

(b)    Nomination for Gratuity

(Rule 53 (1) of CCS Pension Rule 1972 (Form 2 & 3))

        (c)    Nomination for GPF

                (As per Rule 5 (3) of GPF Rules 1960)

        (d)    Nomination for CGEGIS

                (  As per para 18 & 19.5 of Group Insurance Scheme)

        (e)    Nomination for Arrear of Family Pension (Form7)

[ Rule 5 (1) & 5 (5) of Payment of arrear of Pension (Nomination Rule)]

        (f)    Nomination for commutation of Pension Form 12

                               (Rule 7 of CCS Commutation of Pension Rule 1981)

       (g)    Detail of family

 Rule 54 (12) of CCS Pension Rule 1972.)

2      Personal Claim Forms:

         (i)              Earned Leave Form 

[ Under Rule 14 of FRSR Part-III “Leave Rules”]

 (ii)           Conveyance charges Reimbursement form

[ Under T.A.Rules ]

 (iii)   T.A. Form    [ Under FRSR T.A. Rules & R&P Rules 1983 ]

                (a) TA on Tour      [GAR 14 A (See Rule 66 (1) & 90(1)(1)]

                (b) TA on Transfer [GAR 14 A (See Rule 66 (1) & 90(1)(1)]

         (iv)   LTC Form              [ Under L.T.C. Rules 1960 ]

                 (a) LTC advance form

                (b) LTC concession form (GAR 14-C of R&P Rules 1983)

 (v)    GPF Form  [ Under GPF Rules 1960  ]

                 (a) GPF advance form

                (b) GPF withdrawal form

                (c) GPF Final Payment Form [ Annexure-‘D’]

 (vi)   Medical Form

[under Medical Attendance Rules & DGH Scheme ]

                (a) Medical Reimbursement Forms 97

                (b) Essentiality Certificate “A”

                (c) Essentiality Certificate “B”

 (vii) Other Advances [ Compendium of Advances]

       (a) Advances for purchase of Scooter/Motor car/ Motor  cycle/ Personal Computer Form VI

(see GOI decision below Rule 21 )

 (b) Advance for purchase of Fan (Form VI-A)

(see GOI’s decision (1) below Rule 38 (D))

  (c) Application for Flood Advance (see Rule 64)

 3.          Utilization Certificate  [    See Rule 212(1) GFR 2005 ]

                (a) GFR 19

                (b) GFR 19 A

 4.      UTCGEIS  [ Annxure “C” Pre-receipted bill / GAR-44 ]  

 5.     Tuition Fee Reimbursement Form

[ Form (2) Para 25 of Children Education Assistance ]

 6.     Pension Retirement Benefit Forms [ CCS Pension Rules 1972]

(Superannuation Pension, Vol., Retirement, Compulsory Retirement, Invalid Pension, Death Cases Family Pension, Extra-ordinary Pension]

[( See Website of Principal Accounts Office (http://www.coa.delhigovt.nic.in) ]