Get Hptr 6 2020-2025

Filling out the Hptr 6 medical charges reimbursement form can be straightforward when you know the required steps. This guide offers a clear, step-by-step approach to help you complete the form efficiently and accurately.

Follow the steps to fill out the Hptr 6 form online.

1. Click ‘Get Form’ button to access the Hptr 6 form and open it in your document editing tool.
2. Begin by entering your full name and designation in the respective fields. Make sure that the information is accurate and matches your employment records.
3. Provide the name of the office where you are employed. This information helps in the processing of your claim.
4. Input your basic pay in the designated field. This is essential for processing your reimbursement request.
5. Next, write down the name of the patient along with your relationship to them. This establishes who received the medical treatment.
6. Indicate the period of illness. Specify the start and end dates to give context to your claim.
7. In the 'Particulars of Treatment' section, list all relevant items such as medicines, laboratory tests, consultancy fees, and ambulance charges. Be thorough, as this section details what costs you are seeking reimbursement for.
8. Calculate the total claim amount and enter it in the provided space.
9. If you have drawn any advances, specify the amount in the respective section, along with the transaction number and date.
10. Determine the net reimbursement amount by subtracting any advances from your total claim. Enter this amount in the net section.
11. You are required to sign and date the form, confirming that all statements are true and that the patient is wholly dependent on you.
12. Next, the verification certificate needs to be completed by the treating doctor. Ensure they fill in their details correctly.
13. Finally, review the form for accuracy and completeness. You can then save changes, download, print, or share your form as necessary.

Complete your Hptr 6 form online today to ensure prompt reimbursement of your medical expenses.