Medical Reimbursement Form PDF

Medical Reimbursement Form PDF Download

Free download PDF of Medical Reimbursement Form using the direct link provided at the bottom of the PDF description.


Medical Reimbursement Form - Description

Hello Guys, today we are going to upload the Medical Reimbursement Form PDF for you. This form is used by government employees or health policyholders to claim the medical treatment amount. The Income Tax Act allows tax exemption of up to INR 15,000 on medical reimbursements paid by the employer.

Details to be Mentioned in Medical Reimbursement Form PDF

  • Name and Designation of Government Employee
  • Office in which Employed
  • Place of Duty
  • Permanent Address
  • Name of Patient and his/her relation with Government servant
  • Details of amount Claimed
  • Hospital Treatment
  • And any other details

Document Required

  • Medical Reimbursement Application Form
  • Hospital Discharge Summary (Original)
  • Case receipts from hospitals or chemists.
  • Health Card Copy
  • If an accident happens, then FIR or medico-legal certificate(MLC)
  • And any other details.

Here you can download the Medical Reimbursement Form PDF by click on the link given below.

Download Medical Reimbursement Form PDF using below link

REPORT THISIf the download link of Medical Reimbursement Form PDF is not working or you feel any other problem with it, please Leave a Comment / Feedback. If Medical Reimbursement Form is a copyright material Report This by sending a mail at [email protected]. We will not be providing the file or link of a reported PDF or any source for downloading at any cost.


Leave a Reply

Your email address will not be published. Required fields are marked *