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This document serves as a declaration form for pensioners/family pensioners to claim fixed medical allowance based on their residential distance from the nearest Railway Hospital/Health Unit.
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How to fill out Proforma of Medical Allowance

01
Obtain the Proforma of Medical Allowance document from your employer or relevant authority.
02
Fill in your personal details such as name, employee ID, department, and date.
03
Provide details of the medical expenses incurred, including date of expense, nature of expense, and amount.
04
Attach necessary supporting documents like medical bills, receipts, and any other required paperwork.
05
Review the filled form for accuracy and completeness.
06
Sign and date the Proforma to validate your submission.
07
Submit the Proforma of Medical Allowance to the finance or HR department as instructed.

Who needs Proforma of Medical Allowance?

01
Employees who have incurred medical expenses and wish to claim reimbursement from their employer.
02
Individuals requiring reimbursement for eligible healthcare expenses as per company policy.
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The Proforma of Medical Allowance is a structured document that employees use to claim medical reimbursement from their employers, detailing medical expenses incurred.
Employees who wish to claim reimbursement for medical expenses from their employer are required to file the Proforma of Medical Allowance.
To fill out the Proforma of Medical Allowance, employees must include their personal details, the amount of medical expenses incurred, the type of expenses, and attach relevant receipts or documents for verification.
The purpose of the Proforma of Medical Allowance is to facilitate the reimbursement process for medical expenses, ensuring that employees are compensated for necessary medical costs covered by their employer.
The Proforma of Medical Allowance must report the employee's name, employee ID, detailed description of medical expenses, date of expenses, total amount claimed, and any attached supporting documentation.
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