Athax KHOVEL EITE - FORM-18 Pension Form Interactive

FORM 18

This is a Fillable Form which can be just filled out online

FORM 18
[See Rules 78(1),80(1), 80(3) and 880(5) and 80-B (1) & 80-B (5)]
Form for assessing and authorising the payment of family pension and death gratuity when a Government servant dies while in service (To be sent in duplicate if payment is desired in a different Circle of accounting unit)

PART I
1	Name of the deceased Government servant	Name of the Government Servant
2	Father's name (and also husband's name in the case of female Government servant)	Father 's Name
3	Date of birth (by Christian era)	Date of birth
4	Date of death (by Christian era)	Date of Death
5	Religion	Religion
6	Office/Department/Ministry in which last employed	Office/ Department /Ministry in which last employed
7	Appointment held last	Appointment held last
	(i) substantive	Substantive
	(ii) officiating	Officiating
8	Date of beginning of service	Date of Beginning Service
9	Date of ending of service	Date of ending of service
	(i) Total period of military service for which pension, gratuity was sanctioned ; and	Total period of military service for which pension
	(ii) Amount and nature of any pension, gratuity received for the military service	Amount & nature of pension, gratuity received for military service
10.	Amount and nature of any pension received for previous civil service, if any	Amount and nature of any pension received for previous civil service,
11	Government under which service has been rendered in order of employment	Government under which service has been rendered in order of employment
13	The date on which intimation regarding the death of Government servant was received by the Head of Office	Some date
14	(i) obtain claim or claims from the claimants in the appropriate form for death gratuity and family pension as provided in Rule 77 ;	Yes/NO
	(ii) obtain the `No demand certificate' from the Directorate of Estates as provided in Rule 80-C (1);	Yes/NO
	(iii)assess the Government dues other than the dues pertaining to occupation of Government accommodation as provided in Rule 80-C (2) ; and	if any, amount
	(iv) assess the service and emoluments qualifying for death gratuity and family pension as provided in Rules 78 and 79.	Ammount
15	Whether nomination made for death gratuity	Yes/No
16	Length of service qualifying for death gratuity/pension	Length of Service
17	Periods of non-qualifying service -
	(i) Interruption in service condoned under Rule 28	interruption in service condoned under Rule 28
	(ii) Extraordinary leave not qualifying for gratuity	Extraordinary leave not qualifying for gratuity
	(iii)Period of suspension treated as non-qualifying	period of suspension not treated as non-qualifying
	(iv) Any other service not treated as qualifying service	any other service not treted as qualifying service
	Total period of non-qualifying service	period of non-qualifying service
18	(a) Emoluments reckoning for death gratuity	Rs. /- i.e.(BP+GP+DA@DA) or ( Averge 10 month Pay which ever more beneficial)
	(b) Amount of death gratuity	Rs. /- [(P+GP+DA@72%)x¹_/2x six-monthly period)]
19	Omitted.
20	Omitted.
21.	(i) If Family Pension, 1964 applies ---
	Proposed family pension at -
	(a) enhanced rates [if service rendered at the time of death is more than seven years as in Rule 54 (3)]	Rs. 10740/-+DA(60% of last emolument)
	(b) ordinary rates - [as in Rule 54 (2)]	Rs. 6444/-+DA (30% of last emolument)
	(ii) Period of tenability of Family Pension -
	(a) enhanced rates	01.01.2013 to 31.12.2023
	(b) ordinary rates	01.01.2023 onwards
22.	Persons to whom family pension is payable -
	Name	Some Name
	Relationship with the deceased Government servant	Son/wife/husband etc.
	Full postal address	Full Postal Address
23.	Details of Government dues recoverable out of gratuity -
	(i) Licence fee for occupation of Government accommodation [See Rule80-C]	NIL
	(ii) Amount of death gratuity to be held over pending receipt of information from the Directorate of Estates [See Rule 80-C (i) (v)]	NIL
	(iii)Dues referred to in Rule 80-C (2)	NIL
24.	Date on which claims received from the claimants	some Date
25.	Name of guardian who will receive payment of death gratuity and family pension in the case of minors	Not applicable
26.	Place of payment (Treasury, Sub-Treasury or Branch or Public Sector Bank or the Pay and Accounts Office)	Bank Branch with full details
27.	Head of Account to which death gratuity and family pension are debitable	“266 –Pension & ORB”

	Place:
	Dated the	Signature of Head of Office

Provisional Family Pension					Rs.
Gratuity [the amount mentioned in item 18 (b) of Part I				:	Rs.00/-
		Less
	(a)	Licence Fee Recoverable from Gratuity for occupation of Government Accomodation [as in item 23(i) Part-I]		:	Rs.00/- or NIL
	(b)	Amount of gratuity to be held over pending receipt of information from the Directorate of Estates [as in item 23(ii) of Part-I]		:	Rs.00/- or NIL
	(c)	Other Government dues as mentioned in item 23(iii) of Part-I.		:	Rs.00/- or NIL
	(d)	Total of (a),(b) &(c).		:	Rs.00/- or NIL


		Place:
		Dated the	Signature of the Head of Office

PART-II
Account Enfacement Section-I
1.	Total Period of service which has been accepted for -
	(i.)	Death Gratuity
	(ii.)	Family Pension, 1964
2.	Net amount of Gratuity after adjusting Government dues.
3.	Net amount of Gratuity of tenability of Family Pension, 1964. If death took place.-		Amount Rs,	Period Tenability From	Peroiod Tenability To
	(i)	Before seven years service.
	(ii)	After seven years service
4.	Date from which family pension is admissible
5.	Head of Account to which Death Gratuity and Family Pension are chargable.				"266 - Pension & ORB"

Section-II
1.	Name of the deceased Government Servant			Name of the Deceased Govt. Servant
2.	Date of Death of the Government Servant				Some Date
3.	Date on which pension papers received by the Accounts Officer.				Some Date
4.	Amount of Family pension authorised.				Rs.00/-
5.	Amount of Gratuity authorised.				Rs.00/-
6.	Date of commencement of Family Pension.				Some Date
7.	Date on which payment of Family Pension and Gratuity aurhorised.				Some Date
8.	Amount recoverable from Gratuity.				Rs.00/- or NIL
9.	Amount of Gratuity held over pending receipt of 'No Demand Certificate'.				Rs.00/- or NIL

	Place :
	Dated the			Signature of the Accounts Officer