Get Hptr 6

The Hptr 6 is a medical charges reimbursement form designed to help users request reimbursement for medical expenses incurred for treatment. This guide provides comprehensive and clear instructions on how to accurately complete this form online.

Follow the steps to complete the Hptr 6 form accurately.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, enter your full name and designation as required. This information identifies you as the claimant.
3. Provide the name of the office in which you are employed. This helps link the reimbursement request to your employment.
4. Next, fill in your basic pay. This information may be necessary for processing the reimbursement.
5. Indicate the name of the patient along with their relationship to you as the claimant. This clarifies the connection between you and the individual receiving treatment.
6. Specify the period of illness. Clearly state the duration during which the medical treatment took place.
7. In the particulars of treatment section, list the item names for medicines and their corresponding charges. Detail any cash-memos attached.
8. Continue with the next items if you have additional expenses, such as laboratory tests, ambulance services, consultancy, indoor room charges, or any other specified expenses.
9. Sum up the total claim amount in the designated field, indicating the complete sum of expenses incurred.
10. Deduct any advance drawn and specify the transaction number and date, along with the amount in the provided spaces.
11. Calculate and enter the net amount payable after deductions are accounted for.
12. Read the declaration statement carefully, ensuring all information is truthful. Sign and date the form.
13. Have the DDO (Drawing and Disbursing Officer) sign the form, completing the necessary authentication.
14. Ensure that the verification certificate section is filled out by the medical officer, certifying the treatment received by the patient.
15. Once all sections are completed and verified, you can save any changes made, download a copy for your records, print the form as needed, or share it for submission.

Complete your Hptr 6 form online today to ensure efficient processing of your medical reimbursement.