PMSBY Form PDF Download – How to Download and Fill the Pradhan Mantri Suraksha Bima Yojana Form

pmsby form pdf – The Pradhan Mantri Suraksha Bima Yojana (PMSBY) is a government-sponsored accident insurance scheme in India. It provides accidental death and disability coverage to individuals at an affordable premium. To avail the benefits of this scheme, individuals need to fill out the PMSBY form. In this article, we will guide you on how to download and fill the PMSBY form PDF.

Downloading the PMSBY Form PDF

To download the PMSBY form PDF, follow these steps:

  1. Visit the official website of the bank or insurance provider offering the PMSBY scheme.
  2. Navigate to the PMSBY section or search for the PMSBY form.
  3. Look for the option to download the PMSBY form PDF.
  4. Click on the download link to save the form on your device.


Alternatively, you can also visit the official website of the Insurance Regulatory and Development Authority of India (IRDAI) to find the PMSBY form PDF. The IRDAI provides the form on their website for easy access to individuals.

Filling the PMSBY Form

Once you have downloaded the PMSBY form PDF, you can proceed to fill it out. Here’s a step-by-step guide:

  1. Open the downloaded PMSBY form PDF using a PDF reader on your device.
  2. Read the instructions and guidelines mentioned on the form carefully.
  3. Fill in your personal details such as name, age, gender, address, and contact information.
  4. Provide your bank account details, including the bank name, branch, and account number.
  5. Specify the nominee details, including their name, relationship with you, and contact information.
  6. Review the filled-in form to ensure all the information is accurate and complete.
  7. Sign the form at the designated space.

It is important to fill the PMSBY form accurately and provide the correct information to avoid any issues during the claim settlement process. If you have any doubts or queries while filling the form, you can seek assistance from the bank or insurance provider.

Submitting the PMSBY Form

After filling the PMSBY form, you need to submit it to the bank or insurance provider offering the PMSBY scheme. Here’s how:

  1. Visit the nearest branch of the bank or insurance provider.
  2. Carry the filled-in PMSBY form along with the required supporting documents.
  3. Submit the form and documents to the designated officer or counter.
  4. Collect the acknowledgment receipt for future reference.

Make sure to keep a copy of the filled-in PMSBY form and the acknowledgment receipt for your records.


The PMSBY form is an essential document to avail the benefits of the Pradhan Mantri Suraksha Bima Yojana. By following the steps mentioned above, you can easily download, fill, and submit the PMSBY form. Ensure that you provide accurate information and seek assistance if needed. Stay protected with the PMSBY scheme and secure your financial well-being in case of any unfortunate accidents.

Leave a Comment