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Get the free Ex Gratia / Special Cases Application Form

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This application form is for members seeking discretionary financial assistance for exceptional medical circumstances not covered by the Medshield Medical Scheme. It requires detailed financial and medical information, including proof of income and documentation from healthcare providers.
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How to fill out ex gratia special cases

01
Begin by gathering all necessary documentation relevant to the special case.
02
Identify the specific reason for requesting ex gratia payment.
03
Fill out the application form clearly, providing personal details and the applicable case information.
04
Include supporting documents such as proof of loss, relevant financial statements, and other necessary evidence.
05
Make sure to explain the circumstances that warrant the ex gratia payment in detail.
06
Review the application for completeness and accuracy before submission.
07
Submit the application to the designated authority or organization.

Who needs ex gratia special cases?

01
Individuals or families facing unforeseen hardships due to disasters or emergencies.
02
People who have experienced significant loss or damage not covered by insurance.
03
Victims of specific incidents, such as accidents or natural disasters, who require financial assistance.
04
Community members seeking aid from local or governmental organizations in special circumstances.
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Ex gratia special cases refer to transactions or payments made voluntarily by an organization or government, often in situations where there is no legal obligation to pay. This type of payment is typically given as a gesture of goodwill or as a compassionate response to special circumstances.
Entities and individuals that have received or made ex gratia payments or transactions are generally required to file ex gratia special cases. This may include businesses, government agencies, or non-profit organizations that provide such payments.
To fill out ex gratia special cases, individuals or entities must complete the appropriate forms provided by the relevant authority, ensuring all required details are accurately filled, including information about the parties involved, the nature of the payment, and the circumstances surrounding it.
The purpose of ex gratia special cases is to provide financial support or compensation in situations deemed special or exceptional without a legal obligation. This allows organizations to respond compassionately to unique circumstances and support individuals or groups in need.
Information that must be reported on ex gratia special cases typically includes details of the payment recipient, the amount paid, the reason for the payment, supporting documentation, and any relevant dates associated with the transaction.
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