Get Med 97 Form In Word Format 2020-2026

The Med 97 Form is essential for Central Government servants to claim refunds for medical expenses incurred during treatment. This guide provides a straightforward approach to filling out the form in Word format online, ensuring clarity and ease of use for all applicants.

Follow the steps to complete the Med 97 Form efficiently.

1. Click ‘Get Form’ button to obtain the Med 97 Form and open it in the editing application.
2. Begin filling in your name and designation as a Government servant in block letters. Indicate your marital status and, if married, the place of your spouse's employment.
3. Provide the name of the office where you are employed.
4. State your pay as defined in the fundamental Rules along with any other emoluments, ensuring each is itemized separately.
5. Enter your place of duty.
6. Fill in your actual residential address.
7. List the name of the patient and their relationship to you. If the patient is a child, include their age as well.
8. Specify where the patient fell ill.
9. Detail the amounts claimed under hospital treatment, specifying the name of the hospital, accommodation charges, diet, surgical or medical treatment, tests, medicines, ordinary and special nursing, ambulance charges, and any additional charges.
10. If any treatments were received at home, provide particulars and attach the required certificate from the Authorized Medical Attendant.
11. Summarize the total amount claimed, deduct any advances received to calculate the net amount claimed.
12. Attach a list of any additional documents or enclosures required to support your claim.
13. Complete the declaration section, signing and dating the form to confirm the statements made are true to the best of your knowledge.

Start filing your Med 97 Form online today to ensure your medical expenses are refunded promptly.