{"id":2319,"title":"FORM OF NOTICE OF CHANGE OF NOMINATION (Form No. 3750)","purpose":"service","insurer":{"slug":"lic","name":"Life Insurance Corporation of India"},"source_pdf":"https://licindia.in/documents/d/guest/3750e-1","sha256":"91d1a3bfb62f815b4474423ff60757e7b86e144377b598e4df35f60fe43edf3f","pages":3,"collected":"2026-10-20","instructions":{"about":"This form is used by a life assured policyholder to notify the insurer of a change in the nomination of the person to receive policy proceeds upon the policyholder's death.","notes":["Strike out words not applicable as indicated.","If the Assured is not conversant with English, signature must be affixed in presence of an English-knowing witness.","If illiterate, thumb impression must be affixed before authorized officers as specified.","A life assured can change nomination any time before policy matures.","If nominee is a minor, appoint an appointee as per Insurance Act.","Use the form provided or a Will for change of nomination.","Send the original Policy or Will along with the notice for registration."],"title":"FORM OF NOTICE OF CHANGE OF NOMINATION (Form No. 3750)","submit":{"to":"Servicing Office of the Corporation through which the Policy was issued","how":"preferably in writing","address":""},"purpose":"service","sections":[{"title":"Notice of Change of Nomination","fields":[{"help":"Write your current address.","type":"text","label":"Address:","options":[],"required":null,"pdf_field":""},{"help":"Enter the date of filling this notice.","type":"date","label":"Date :","options":[],"required":null,"pdf_field":""},{"help":"Enter your policy number.","type":"text","label":"Re: Policy No.","options":[],"required":true,"pdf_field":""},{"help":"Fill in the full name of the new nominee and details of previous nomination to be replaced.","type":"text","label":"I hereby give you notice that I have now nominated _____ as the person to whom the moneys secured by the above Policy shall be paid in the event of my death, vide endorsement on the enclosed Policy / *enclosed Will, in lieu of Named in the text of the above Policy/*endorsement dated _____ on the above Policy","options":[],"required":true,"pdf_field":""},{"help":"Sign here to confirm the change of nomination.","type":"signature","label":"Signature of Life Assured","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Change of Nomination Details and Witness","fields":[{"help":"Fill in your full name, nominee's relationship and full name, nominee's age and address, and details of previous nomination to be replaced.","type":"text","label":"I, _____, hereby nominate my @ _____ aged _____ years and whose address is : _____ to be the person to whom the moneys secured by the within Policy shall be paid in the event of my death in lieu of _____ named in the text of the within Policy/ *endorsement on the within Policy dated at _____ the _____ day of _____ 20_____.","options":[],"required":true,"pdf_field":""},{"help":"Enter the place and date of signing.","type":"date","label":"Dated at _____, the _____ day of _____ 20_____.","options":[],"required":true,"pdf_field":""},{"help":"Witness must sign here in English.","type":"signature","label":"Signature of Witness in English","options":[],"required":true,"pdf_field":""},{"help":"Policyholder signs here.","type":"signature","label":"Signature of Life Assured","options":[],"required":true,"pdf_field":""},{"help":"Witness signs here to certify.","type":"signature","label":"Signature of Witness","options":[],"required":true,"pdf_field":""},{"help":"Affix official seal if applicable.","type":"attachment","label":"Seal","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder and witness"}],"deadlines":["Submit notice immediately after a Change of Nomination has been made by endorsement on the Policy or by a Will"],"applies_to":"life insurance policies","attachments":["Endorsement on the Policy or enclosed Will"],"declarations":["The witness certifies that the contents of the Change of Nomination were explained to the Assured in vernacular and that the Assured affixed signature/thumb impression in presence after understanding the same.","If no notice of change is given, the Corporation will not be liable for payments made to the previously nominated person."],"dropped_labels":4},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"phone","value":"+91-22-68276827","label":"Customer Care Phone Number","level":null,"hours":"24*7","applies_to":"all","source_url":"https://licindia.in/web/guest/grievances","quote":"Corporation \r\n   of India.\nNavigation\nSkip to Content\nMenu Display\nVoice Search\nSearch\nSkip to main content\n8976862090\n+91-22-68276827\nBranch Locator\nLanguage Selector\nenglish\nहिन्दी [beta]\nमराठी\nA+\nA\nA-\nA\nA\nAbout Us\nHistory\nObjectives Of LIC\nMission/Vis","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"8976862090","label":"Customer Care Phone Number","level":null,"hours":"24*7","applies_to":"all","source_url":"https://licindia.in/web/guest/grievances","quote":"e Insurance Corporation \r\n   of India.\nNavigation\nSkip to Content\nMenu Display\nVoice Search\nSearch\nSkip to main content\n8976862090\n+91-22-68276827\nBranch Locator\nLanguage Selector\nenglish\nहिन्दी [beta]\nमराठी\nA+\nA\nA-\nA\nA\nAbout Us\nHistory\nObjectives Of","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"'Yogakshema' , Jeevan Bima Marg, P.O. Box No19953, Mumbai – 400 021.","label":"Corporate Office Address","level":null,"hours":null,"applies_to":"all","source_url":"https://licindia.in/web/guest/grievances","quote":"any grievances, email at\nco_complaints[at]licindia[dot]com\nCorporate Office\n: Life Insurance Corporation of India \r\n\t\t\t\t'Yogakshema' , Jeevan Bima Marg, P.O. Box No19953, \r\n\t\t\t\tMumbai – 400 021. IRDAI Reg No- 512\nFor any query regarding this website, please contact the Web Information Manager\nSmt. Himali As","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"co_healthsc@licindia.com","label":"Senior Citizens Health Grievance Email","level":null,"hours":null,"applies_to":"health","source_url":"https://licindia.in/documents/20121/124155/Sample_Policy_Document_LIC-s-Arogya-Rakshak.pdf/ed974eaa-4330-7732-6a85-43cfd7980a67?t=1669266625981","quote":"District Court Judge is member of each of the Claims Dispute Redressal Committees. For Senior Citizens:\nEmail address: co_healthsc@licindia.com Health Toll free Number: 18004259876\nOf IRDAI:\nIn case the customer is not satisfied with the response or do not receiv","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"+91-22-68276827","label":"LIC Call Center","level":null,"hours":"24*7","applies_to":"all","source_url":"https://licindia.in/phone-help-line","quote":"Corporation \r\n   of India.\nNavigation\nSkip to Content\nMenu Display\nVoice Search\nSearch\nSkip to main content\n8976862090\n+91-22-68276827\nBranch Locator\nLanguage Selector\nenglish\nहिन्दी [beta]\nमराठी\nA+\nA\nA-\nA\nA\nAbout Us\nHistory\nObjectives Of LIC\nMission/Vis","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"8976862090","label":"LIC Call Center","level":null,"hours":"24*7","applies_to":"all","source_url":"https://licindia.in/phone-help-line","quote":"e Insurance Corporation \r\n   of India.\nNavigation\nSkip to Content\nMenu Display\nVoice Search\nSearch\nSkip to main content\n8976862090\n+91-22-68276827\nBranch Locator\nLanguage Selector\nenglish\nहिन्दी [beta]\nमराठी\nA+\nA\nA-\nA\nA\nAbout Us\nHistory\nObjectives Of","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"sms","value":"SMS LICHELP <pol.no.> to 9222492224","label":"Grievance Redressal SMS","level":null,"hours":null,"applies_to":"all","source_url":"https://licindia.in/phone-help-line","quote":"Branch / Division / Zonal / Corporate Level.\n(For details click on the `Grievances' tab on the homepage).\nSMS LICHELP :\nSMS LICHELP <pol.no.> to 9222492224.\nDetails of Health Insurance TPA along with Toll Free Numbers\n(Content: English | Format: PDF | View/Download |Size: 44","fetched_at":"2026-10-20"}],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/lic/2319-form-of-notice-of-change-of-nomination-form-no-3750"}