Get Daman Reimbursement Form

Completing the Daman Reimbursement Form online can streamline the process of claiming your medical expenses. This guide will walk you through each section of the form, ensuring that you provide all necessary information for a successful reimbursement request.

Follow the steps to fill out the Daman Reimbursement Form online.

1. Press the ‘Get Form’ button to access the Daman Reimbursement Form and open it in your preferred online editor.
2. Enter the card holder’s name exactly as printed on the Daman card in the designated field.
3. Fill in the Daman Card Number, ensuring it is accurate and corresponds with the card holder’s information.
4. Indicate the reason for not using Daman-listed healthcare facilities. You may select from options such as Emergency, Family Doctor, Personal Choice, Service not available, On vacation/business trip outside UAE, or Other. Provide specifics if you choose 'Other'.
5. Input the name and address of the hospital or clinic where treatment was received. Include additional details as necessary to ensure clarity.
6. Provide the Bill Number as printed on your invoice, along with the Treatment Date of service.
7. Describe the services received by specifying the type of treatment (e.g., Consultation, Pharmacy, Investigations).
8. Indicate the currency used for treatments availed outside UAE and the amount as shown on the invoices.
9. Calculate and fill in the total amount of all invoices submitted with this form.
10. Complete the Declaration section with your name, signature, date, contact number, and relationship to the card holder.
11. Ensure the Medical Information section is filled out by your treating doctor, providing necessary details about your medical condition.
12. If applicable, complete the Employer’s Section, indicating who will collect the cheque for reimbursement.
13. Review all entries for accuracy and completeness. Save changes, download, print, or share your filled-out form as needed.

Take the first step to receiving your reimbursement by completing the Daman Reimbursement Form online today.