Get Daman Claim Form

Completing the Daman Claim Form online is a straightforward process that facilitates the reimbursement of your medical expenses. This guide provides detailed instructions to help you navigate each section effectively.

Follow the steps to successfully complete the form

1. Click ‘Get Form’ button to access the Daman Claim Form and open it in your preferred editor.
2. Fill in the Card Holder's Name exactly as it appears on your Daman card.
3. Indicate the reason for not using Daman listed healthcare facilities by selecting from options provided—Emergency, Family Doctor, or Other (please specify).
4. Provide the name and address of the hospital or clinic where treatment was received, ensuring all the information is accurate and complete.
5. Choose your preferred method for claims payment by selecting either Cheque or Wire Transfer, and provide the necessary bank account details if applicable.
6. Complete the declaration section. Sign the form, add your contact number, date, and relationship to the card holder.
7. If applicable, have the treating doctor fill out the Medical Information section, including the patient's medical history and treatment details.
8. Submit the completed form along with any required supporting documents to ensure your claim is processed efficiently.
9. Once you have filled out the form, you can save your changes, download or print it, and share it with the relevant parties.

Begin your online claim submission process today to ensure timely reimbursement.