Get Hc5o

Filling out the Hc5o form is essential for claiming refunds for optical charges. This guide will walk you through each section of the form, ensuring you complete it correctly and efficiently.

Follow the steps to effectively complete your Hc5o claim online.

1. Click 'Get Form' button to obtain the Hc5o form and open it in your preferred editor.
2. In Part 1, provide the patient's details. Fill in their surname, other names, title, date of birth, National Insurance number, address, postcode, and telephone number.
3. In Part 2, specify the details of the optical charges paid. Indicate if you wish to claim a refund for a sight test or for glasses/contact lenses. Make sure to include the date of the sight test and send any original receipts along with your optical prescription.
4. In Part 3, provide the name, address, and telephone number of the optical practice you visited.
5. In Part 4, indicate the patient's income situation at the time the optical charges were paid. Tick the relevant box if they fall within specific benefit groups or state if the claim is based on low income.
6. Sign and date the declaration in Part 4 at the bottom of the form. Ensure all information provided is correct.
7. After completing the form, save your changes. You can then download, print, or share the completed Hc5o form as needed.

Finalize your claim by completing and submitting the Hc5o form online for a seamless experience.