EPF Form 10D: Application for Monthly Pension under EPS 1995
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JustFill is not affiliated with EPFO (Employees' Provident Fund Organisation), Government of India. This is an independent third-party tool to help you complete EPF Form 10D. Always download the current blank form from the official source and verify your completed copy before signing or submitting. Official EPF Form 10D from EPFO (Employees' Provident Fund Organisation), Government of India
EPF Form 10D (PF Form 10D) is the EPFO application for monthly pension under the Employees' Pension Scheme 1995: superannuation pension at 58 or reduced pension from 50 after 10 years of eligible service, disablement pension, and family pension after a member's death. You give claimant and pension type, member, account, family and savings-bank details; the last employer certifies a paper claim, and KYC-complete UAN holders can file online instead. JustFill opens the free bilingual PDF in your browser and includes the first clean completed download at no charge.
Form 10D is the application a member of the Employees' Pension Scheme (EPS) 1995 files with EPFO to start receiving monthly pension benefits. A member needs 10 years of eligible service for superannuation pension at 58 or reduced pension from 50; disablement pension and the family pensions (widow and children, orphan, nominee, dependent parent) are claimed on the same form and, for death in service before 58, EPFO routes claimants to Form 10D without the 10-year condition. The form establishes who is claiming, which pension, the member's service and account, the family that will inherit the pension, and the savings-bank account for monthly credit; the last employer certifies the wages and pension contributions of the final 12 months on page 4.
EPFO gives Form 10D away free: the bilingual Hindi/English PDF (6 pages, including the employer's certificate and the descriptive roll) and an 8-page instruction sheet are linked from the "Which claim form" page on epfo.gov.in, and paper copies are supplied at EPFO offices. The site lists the current file as dated 31-01-2019; there is no official Word version and the PDF has no fillable fields. If your UAN is active with Aadhaar, bank account and PAN seeded and you have filed an e-nomination, you do not need the PDF at all: log in to the member portal, choose Online Services, then Claim (Form-31, 19, 10C & 10D), pick Form 10D and confirm with the OTP sent to your Aadhaar-linked mobile. For a paper claim, upload the PDF to JustFill, type items 1 to 17 on screen, print it for the signatures and the employer's certificate; the first clean completed download is included at no charge.
Get the official EPF Form 10D PDF from EPFO (Employees' Provident Fund Organisation), Government of IndiaWhat each section of EPF Form 10D asks for. JustFill’s AI will detect these fields automatically when you upload the PDF — review the breakdown below so you know what to enter.
Item 1: member, widow, widower, major/orphan, guardian, nominee or dependent parent. Item 2: superannuation (at 58), reduced (50 to 57, left service), disablement, widow and children, orphan, nominee or dependent-parent pension.
Name in block letters, sex, marital status (married, unmarried, widow, widower, divorcee), date of birth or age in dd/mm/yyyy, and father's name — husband's name for a married woman. A mobile number box sits at the top of page 1.
EPF account number (region and office codes, establishment code, extension, member number), name and address of the establishment where you last worked, date and reason of leaving service ("still in service" if you are past 58 and still employed), address for communication, and in 8(a) the date from which a reduced pension should start — not before age 50 or the date of leaving.
Only for members whose pension started before 26 September 2008; commutation and return of capital were abolished by notification GSR 688(E) of that date. Family claimants never fill these items; almost every current applicant leaves them blank.
Spouse and every child with date of birth, relationship and, for minors, the guardian; write DISABLED under a disabled child's name. A member fills this so the family pension is fixed with the member pension; after a death the spouse or children fill it, with age proof for children and a guardianship certificate for a non-natural guardian. Item 13 is the member's date of death, with the death certificate.
Bank name, branch, full postal address and PIN, and the savings-bank account number of each claimant (a separate account for each child under 25, operated by the guardian for minors); attach a cancelled or blank cheque. The account must be in a bank on EPFO's designated list, and member, spouse and children in the same branch. Item 14A: name and relationship when the claim is made by a Form 2(R) nominee or dependent parent.
Scheme certificate details (item 15), existing PPO number if you already draw an EPS pension (16), list of enclosures (17), the certification that you are not drawing EPS 1995 pension, and your signature or left-thumb impression. Page 4 is the employer's certificate with a table of wages and pension contributions for the 12 months before leaving; page 5 is the descriptive roll with specimen signatures, submitted in duplicate.
A fictional member, Ramesh Example, retired from Example Engineering Pvt Ltd on 31 July 2026 at age 58 with more than ten years of pensionable service and applies for superannuation pension in his own name. Every value is invented and identifiers are masked.
MEMBER
The instructions list member, widow, widower, major/orphan, guardian, nominee or dependent parent; tick one.
SUPERANNUATION PENSION
Claimed by a member on attaining 58 years, in service or not. Reduced pension is for members aged 50 to 57 who have left service.
RAMESH EXAMPLE / Male / Married / 15/07/1968 / father: SURESH EXAMPLE
Name and father's (or husband's) name in block letters; date of birth as dd/mm/yyyy.
MH/BAN/•••••••/000/•••••••
Region code, office code, establishment code, extension and member number exactly as in the passbook; masked here.
Example Engineering Pvt Ltd, 12 Sample Road, Pune 411 0•• / 31/07/2026 / Superannuation
A member past 58 who is still working writes "still in service" for item 6.
Same as above / 8(a) not applicable
Item 8(a) is only for reduced pension: the date you want the pension to start, not earlier than age 50 or the date of leaving.
Left blank
Abolished for pensions starting on or after 26-09-2008 (notification GSR 688(E)); the form itself says "not applicable" in that case.
SUNITA EXAMPLE, 02/03/1971, wife; ARJUN EXAMPLE, 10/10/2001, son
Spouse and all children; guardians for minors; write DISABLED under the name of any disabled child. Fixed now so the family pension needs no fresh processing later.
State Bank of India, Sample Nagar branch, Pune 411 0••, SB a/c ••••••1234, cancelled cheque attached
A savings account in a bank on EPFO's designated list; member, spouse and children must use the same branch.
Descriptive roll with specimen signature (in duplicate), 3 passport photos (joint with spouse) attested by employer, cancelled cheque
From the instruction sheet; the descriptive roll is page 5 of the form itself.
Member signature / left thumb impression; employer's certificate on page 4 with seal and 12-month wage table
The paper claim is forwarded through the last establishment; if it has closed, through a magistrate, gazetted officer or bank manager.
These values are made up. They are here to show what belongs on each line, not to be copied — every name, number, and address on your own EPF Form 10D has to be your own.
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Official source: EPF Form 10D on EPFO (Employees' Provident Fund Organisation), Government of India’s website
Edition checked: Form 10D (EPS) "Application for Monthly Pension", bilingual Hindi/English, 6 pages, footer "Form 10D (www.epfindia.gov.in) Page 1 of 6"; listed on EPFO's "Which claim form" page as FORM 10D dated 31-01-2019 with a separate 8-page Instructions sheet. Verified against the official source on .
Source: EPFO, Government of India.
JustFill is an independent product and is not affiliated with, endorsed by, or sponsored by EPFO (Employees' Provident Fund Organisation), Government of India or any government agency. Always verify your completed form on the official version before signing or submitting.