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EMPLOYEE HEALTH SCHEME MEDICAL REIMBURSEMENT CLAIM FORM (To be (filled up by the EHS cardholder in BLOCK LETTERS) 1. (a) Name of the EHS cardholder(b) EHS Card Number (c) Employee Code Number(d) Ward
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How to fill out new medical reimbursement form

01
Start by entering personal information such as name, address, and contact details.
02
Provide details of the medical treatment or services received, including the date and cost.
03
Attach original receipts or invoices as proof of payment.
04
Include any supporting documents such as doctor's notes or prescriptions.
05
Double-check the form for accuracy before submission.

Who needs new medical reimbursement form?

01
Employees who have received medical treatment or services and are seeking reimbursement from their employer's healthcare benefits.
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The new medical reimbursement form is a document used to request reimbursement for medical expenses incurred by an individual.
Any individual who has incurred medical expenses and wishes to seek reimbursement for those expenses is required to file the new medical reimbursement form.
The new medical reimbursement form can be filled out by providing personal information, details of the medical expenses incurred, and supporting documentation.
The purpose of the new medical reimbursement form is to allow individuals to request reimbursement for medical expenses they have incurred.
The new medical reimbursement form may require information such as the individual's name, address, date of service, description of services received, and total amount of expenses incurred.
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