Maharashtra Medical Reimbursement Form for Government Employees Marathi PDF

Download Maharashtra Medical Reimbursement Form for Government Employees Marathi PDF

You can download the Maharashtra Medical Reimbursement Form for Government Employees Marathi PDF for free using the direct download link given at the bottom of this article.

File name	Maharashtra Medical Reimbursement Form for Government Employees Marathi PDF
No. of Pages	21
File size	279 KB
Date Added	Jul 1, 2023
Category	Education & Jobs
Language	Marathi
Source/Credits	Drive Files

Maharashtra Medical Reimbursement Form Summary

The Medical Reimbursement Form for Maharashtra Government Employees is a document used to claim reimbursement for medical expenses incurred by government employees in Maharashtra. This form is provided by the concerned department or authority responsible for managing employee benefits.

The form typically includes the following sections:

1. Employee Details: This section requires the employee’s personal information, such as name, designation, employee code, department, and contact details.
2. Medical Treatment Information: Here, the employee provides details of the medical treatment or procedure for which reimbursement is being claimed. This includes the name and address of the hospital or medical institution, the date of treatment, diagnosis, and the amount incurred.
3. Attachments: The employee is required to attach supporting documents, such as original bills, receipts, medical reports, prescriptions, and any other relevant documents, to substantiate the claimed expenses.
4. Declaration: The employee needs to sign a declaration stating that the information provided is true and accurate to the best of their knowledge. They may also authorize the department to verify the submitted documents if required.
5. Approval and Verification: After the employee completes the form, it is typically submitted to the respective department or authority for verification and approval. The form may go through multiple levels of review, including scrutiny by medical officers or designated officials.

Once approved, the reimbursement amount will be processed and paid to the employee based on the applicable rules and regulations of the Maharashtra government.

It is important for government employees to carefully fill out the form, attach all necessary documents, and follow the guidelines provided by the department or authority to ensure a smooth reimbursement process.

Following Documents need to be submit:

• Annexure – II (with amount, signature of the applicant and attestation)
• Emergency certificate (with signature and stamp of hospital/treated doctor)
• Essentiality certificate (with signature and stamp of hospital/treated doctor. The amount in the Essentiality Certificate should tally with amount in the Annexure-II).
• Discharge Summary (with signature and stamp of hospital/treated doctor)
• Out Patient Card if treatment taken as Out Patient.
• Dependent and Non-drawal certificates (with attestation of the forwarding authority and signature of the applicant). For every follow up treatment for post operative cases, who requires life long treatments, the concerned patient has to get revalidation of prescriptions once in six months from the specialist Government doctor.
• In case of accident cases and treatment taken in un-recognised hospitals under emergency, FIR should be submitted.
• Legal Heir certificate should be submitted in case of death of the teacher.

Maharashtra Medical Reimbursement Form for Government Employees Marathi PDF Download Link