Professional Documents
Culture Documents
Instructions For Form 19
Instructions For Form 19
All Forms should be filled up legibly with correct information duly attested by the
employer to ensure faster and early settlement.
SETTLEMENT OF YOUR EMPLOYEES PROVIDENT FUND ACCOUNT
Form 19
Sl.
Number
Particulars
TN / MAS / 5587 / A / 37
Correct Date of leaving should be filled in
From the following please Indicate the reason
applicable to you:
1. Retired from Service after attaining 55
years
2. Attained 55 years and resigned from
service
3. Retired on Disability to the work
4. Under Voluntary Retirement Scheme
5. Migration to abroad on Permanent
settlement
6. Retrenched from Service
7. Resigned / Left Service *
* For cases of Resignation / Left Service, the
claim should be submitted by the member only
after two months from the Date of Leaving
1
Mode of Remittance
10
11
12
5. The Magistrate
6. Member of Central Board of Trustees or
Regional Committee of Employees PF
Organisation
7. Chairman / Secretary / Member of the
Municipal / District / Local Body
8. President of the Village Union /
Panchayat
9. Member of Parlimantary / Member of
Legislative Assembly
10. Any other Officer approved by the
Regional PF Commissioner
11. Official Liquidator appointed by the
Court of Law
Wherever payment is sought through account
payee cheque, the advance stamped receipt
should be signed by the member duly affixing
One Rupee Revenue Stamp. The amount need
not be filled in, which shall be filled in by the
RPFC / OIC of the EPFO Office.