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Get Claim Form For A Refund Of Optical Charges Hc5(o)
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How to use or fill out the Claim Form For A Refund Of Optical Charges HC5(O) online
Filling out the Claim Form For A Refund Of Optical Charges HC5(O) online is a straightforward process that allows users to reclaim costs associated with sight tests, glasses, or contact lenses. This guide will walk you through each section of the form to ensure that you complete it accurately and efficiently.
Follow the steps to fill out the Claim Form HC5(O) online.
- Click ‘Get Form’ button to obtain the Claim Form For A Refund Of Optical Charges HC5(O) and open it in the editor.
- Begin with Part 1, which requires details about the patient. Fill in the surname, other names, title, date of birth, National Insurance number, address, postcode, and telephone number.
- In Part 2, specify the details of the optical charges paid. Indicate whether the claim is for a sight test, glasses, or contact lenses. Provide the respective amounts, dates, and attach necessary original receipts and optical prescriptions.
- Part 3 requires the name, address, and telephone number of the optical practice where charges were paid. Ensure all information is accurate.
- Part 4 addresses the patient's income at the time of payment for the charges. Tick the appropriate box based on the income group and provide any additional information requested, such as date of birth or National Insurance number.
- Lastly, complete the declaration in Part 4. Sign and date it, ensuring the signature matches the telephone number provided earlier.
- Review the entire form for completeness and accuracy. After confirming, save the changes, download, and print a copy for your records. If necessary, proceed to share the form as required.
Start filling out your HC5(O) claim form online today for a quick refund of your optical charges.
travel costs to receive NHS treatment. Please read this page before filling in this form - it will help you make this claim correctly. Use a separate form for each person who has paid travel costs or has had travel costs paid for them. Part 4 tells you where to send the completed form.
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