Composite Claim Form for Provident Fund Submission
This file contains the Composite Claim Forms for Aadhar and Non-Aadhar submissions for the Employees' Provident Fund Organisation. It provides essential information on how to fill out the forms, making the process easier for subscribers. Ensure all details are accurately entered to facilitate a smooth claim process.
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How do I fill this out?
To fill out this form, start by gathering all necessary personal and account information. Ensure that your Aadhar number and Universal Account Number (UAN) are correctly seeded on the UAN portal. Carefully follow the instructions in each section to complete your claim form accurately.

How to fill out the Composite Claim Form for Provident Fund Submission?
1
Gather your Aadhar number, UAN, and bank account details.
2
Fill in personal information including your name and date of joining.
3
Select the applicable claim types (final PF settlement, pension withdrawal, part withdrawal).
4
Indicate the purpose and amount for any part withdrawals.
5
Sign the form to certify the accuracy of the information provided.
Who needs the Composite Claim Form for Provident Fund Submission?
1
Employees looking to withdraw their provident fund.
2
Individuals transferring their provident fund to a new employer.
3
Those seeking pension withdrawal benefits under EPFO schemes.
4
Workers facing a closure of factories requiring urgent fund access.
5
Members wanting to take advances for marriage or education.
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1
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Input your corrected information into the form.
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What are the instructions for submitting this form?
To submit the Composite Claim Form, you can either visit your local EPFO office or send the form via registered post to the corresponding jurisdictional EPFO office. Ensure to include any required documents, such as a cancelled cheque and proof of identity. For electronic submission, check the EPFO website for online claim submission portals.
What are the important dates for this form in 2024 and 2025?
Important dates for submission of this form in 2024 include March 15 for year-end processing. For 2025, keep an eye on updates from the EPFO regarding submission timelines. Ensure timely submissions to avoid delays in your claims.

What is the purpose of this form?
The purpose of the Composite Claim Form is to streamline the withdrawal and transfer processes for provident fund members. By centralizing claims into a single form, it simplifies the submission procedure and reduces the need for multiple documents. This initiative aims to enhance efficiency and transparency for EPFO subscribers.

Tell me about this form and its components and fields line-by-line.

- 1. Member's Name: The full name of the employee as it appears on official documents.
- 2. Universal Account Number (UAN): A unique number assigned to every EPF member.
- 3. Aadhar Number: The Aadhar identification number should be linked to the UAN.
- 4. Date of Joining: The date when the employee joined the establishment.
- 5. Purpose of Withdrawal: Specifies why the member is requesting a withdrawal.
- 6. Amount: The monetary amount the employee is seeking to withdraw.
What happens if I fail to submit this form?
Failure to submit this form may result in delays in processing your claim. It could also lead to forfeiture of funds or inability to access your withdrawal benefits. Therefore, it is essential to ensure proper submission to avoid complications.
- Delayed Processing: If the form is not submitted, there might be delays in receiving any benefits.
- Loss of Benefits: Non-submission could lead to missing out on funds that are owed to you.
- Increased Stress: Failure to submit may lead to financial strain during urgent circumstances.
How do I know when to use this form?

- 1. Final PF Settlement: To claim the full amount after leaving service.
- 2. Pension Benefits: To withdraw pension benefits upon retirement.
- 3. Partial Withdrawals: For requesting funds for urgent needs such as marriage or healthcare.
Frequently Asked Questions
What is the purpose of the Composite Claim Form?
The Composite Claim Form is used to withdraw or transfer your accumulated provident fund effectively.
How can I edit this PDF on PrintFriendly?
Simply upload your PDF, click on the editable fields, make your changes, and download the updated document.
Do I need to sign the PDF?
Yes, ensure that you sign the document where required to authenticate your claim.
What details do I need to provide?
You need to provide your name, UAN, Aadhar number, and details on the purpose of withdrawal.
Can I submit this form online?
Yes, completed forms can be submitted to your jurisdictional EPFO office as per the requirements.
Is there any cost to use PrintFriendly?
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What if I make a mistake while filling the form?
You can easily go back to the PrintFriendly editor and correct any errors before downloading.
Can I share the PDF once edited?
Yes, sharing options are available directly from PrintFriendly.
How do I submit the form after editing?
After editing, print the form and submit it physically or via email as per the guidelines.
What information is required for PF part withdrawal?
You need to specify the purpose and provide the amount you are requesting to withdraw.
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