NEW CLAIM FORM - AGRAHARA INSURANCE

NEW CLAIM FORM – AGRAHARA INSURANCE

All claim applications of government sector, semi-government sector and pensioner sector have been updated by the National Insurance Trust Fund and entered on our website www.nitf.lk and from 2024-06-01 all your claims should be applied through those new applications only.

1. Common for Agrahara Claims

1.1 Agrahara Member’s Insurance Claim Application Form for Hospitalization, Childbirth, Spectacles, Heart surgery, Cancer, and Other diseases and surgeries

1.1.1 Claim From and Instructions Manual to complete the Form :

1.2 Agrahara Gold/Silver Membership Upgrade Form :
Sinhala Form

1.3 Agrahara members monthly remittance list format :
Remittance list format English

1.4 Agrahara Member’s Ten months Loan Guarantee Certificate Request From :
Sinhala Form

1.5 Agrahara Member’s Accident Claim Form :
Sinhala Form

1.6 Agrahara Member’s Accident Death or Natural Death Claim Form :
Sinhala Form
Tamil Form

IMPORTENT: Please note to obtain the payment of this death claim or any claim payment, you shall NOT require to pay any amount astax, stamp duty or as document charges to National Insurance Trust Fund nor to any other institute or person and will be consider as a Bribe.

1.7 Registered Hospitals NITF authorized to pay Agrahara Claims :
1.7.1 Private hospitals list
1.7.2 Ayurvedic hospitals list

1.8 Public Administrator Circulars :
1.8.1 Establishment of Agrahara Insurance circular, 12/2005
1.8.2 First Amendment to the circular, 12/2005 (i)
1.8.3 Second Amendment to the circular, 12/2005 (ii)
1.8.4 Third Amendment to the circular, 12/2005 (iii)
1.8.5 Fourth Amendment to the circular, 12/2005 (iv)
1.8.6 Fifth Amendment to the circular, 12/2005 (v)
1.8.7 Sixth Amendment to the circular, 12/2005 (vi)
1.8.8 Seventh Amendment to the circular, 12/2005 (vii)
1.8.9 Eighth Amendment to the circular, 12/2005 (viii)
1.8.10 Ninth Amendment to the circular, 12/2005 (ix)

2. Agrahara Pension

2.1 Agrahara Pensioned Member’s Insurance Claim Application Form for Hospitalization, Heart surgery, Cancer, Kidney and Other diseases and surgeries.
Sinhala Form

Tamil Form

2.2 Agrahara Pensioned Member’s Accident Death or Natural Death Claim Form
Sinhala Form

IMPORTENT: Please note to obtain the payment of this death claim or any claim payment, you shall NOT require to pay any amount as tax, stamp duty or as document charges to National Insurance Trust Fund nor to any other institute or person and will be consider as a Bribe.

3. Agrahara Semi-Government

3.1 Agrahara semi-goverment Member’s Insurance Claim Application Form for Hospitalization, Childbirth, Heart surgery, Cancer, and Other diseases and surgeries.
Sinhala Form

3.2 Agrahara semi-goverment Member’s Accident Claim Form.
Sinhala Form

3.3 Agrahara semi-goverment Member’s Accident Death or Natural Death Claim Form.
Sinhala Form