Home / Downloads
  • 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 :           English      /      Sinhala      /     Tamil

         1.2 Agrahara Gold/Silver Membership Upgrade Form :
                 Sinhala Form           Download

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

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

         1.5 Agrahara Member’s Accident Claim Form :
                 Sinhala Form           Download

         1.6 Agrahara Member’s Accident Death or Natural Death Claim Form :
                 Sinhala Form           Download
                 Tamil Form           Download
    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 Agrahara Member’s Heart Surgery, Kidney Transplant Surgery, Brain Surgery Guarantee Application form :
                 Sinhala Form           Download

         1.8 Registered Hospitals NITF authorized to pay Agrahara Claims :
                 1.8.1 Private hospitals list           View
                 1.8.2 Ayurvedic hospitals list           View

         1.9 Public Administrator Circulars :
                 1.9.1 Establishment of Agrahara Insurance circular, 12/2005           Sinhala      /      Tamil      /     English
                 1.9.2 First Amendment to the circular, 12/2005 (i)           Sinhala      /      Tamil      /      English
                 1.9.3 Second Amendment to the circular, 12/2005 (ii)           Sinhala      /      Tamil      /      English
                 1.9.4 Third Amendment to the circular, 12/2005 (iii)           Sinhala      /      Tamil      /      English
                 1.9.5 Fourth Amendment to the circular, 12/2005 (iv)           Sinhala      /      Tamil      /      English
                 1.9.6 Fifth Amendment to the circular, 12/2005 (v)           Sinhala      /      Tamil      /      English
                 1.9.7 Sixth Amendment to the circular, 12/2005 (vi)           Sinhala      /      Tamil      /      English
                 1.9.8 Seventh Amendment to the circular, 12/2005 (vii)           Sinhala      /      Tamil      /      English
                 1.9.9 Eighth Amendment to the circular, 12/2005 (viii)           Sinhala      /      Tamil      /      English
                 1.9.10 Ninth Amendment to the circular, 12/2005 (ix)           Sinhala      /      Tamil      /      English

    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           Download
                 Tamil Form           Download

         2.2 Pensioned Member’s Heart Surgery, Kidney Transplant Surgery, Brain Surgery Guarantee Application form.
                 Sinhala Form           Download

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

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

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

         3.4 Semi-goverment Member’s Heart Surgery, Kidney Transplant Surgery, Brain Surgery Guarantee Application form.
                 Sinhala Form           Download

  • To Download the Proposal form     Here
    To Download the Motor Vehicle Insurance Policy     Here
    To Download the Motor Claim Form - English     Here
    To Download the Motor Claim Form - Sinhala     Here

  • To Download the Crop Insurance Levy Annual Return                           Here
    To Download the Crop Insurance Levy Quarterly Return                       Here