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2017 GIT Generic Reimbursement Claim Form YOU MUST BE A MEMBER OF A GIT HEALTH PLAN TO BE ELIGIBLE!!! (See guidelines for reimbursement of this alternate/noninsurance benefit) Employee Name: Employee

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What is git generic reimbursement claim?

Git generic reimbursement claim is a form used to request reimbursement for expenses related to generic drugs.

Who is required to file git generic reimbursement claim?

Individuals who have incurred expenses for generic drugs and are eligible for reimbursement.

How to fill out git generic reimbursement claim?

To fill out the git generic reimbursement claim, individuals must provide their personal information, details of the generic drug expenses, and any supporting documentation.

What is the purpose of git generic reimbursement claim?

The purpose of git generic reimbursement claim is to reimburse individuals for expenses incurred on purchasing generic drugs.

What information must be reported on git generic reimbursement claim?

Information such as personal details, expenses related to generic drugs, date of purchase, and any supporting documents must be reported on git generic reimbursement claim.

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