Get Elments Du Dossier De Demande De Remboursement - Anam

This guide provides step-by-step instructions for completing the Eléments Du Dossier De Demande De Remboursement - Anam online. It aims to assist users of all experience levels in submitting their reimbursement requests efficiently and accurately.

Follow the steps to successfully complete the form:

1. To begin, click the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Identify the type of request you are making. You must select between 'Inscription' for new registration or 'Modification des conditions d’inscription' for alterations to existing terms.
3. Complete the section regarding the laboratory's details. Provide the name of the laboratory submitting the request alongside the contact information of the responsible individual who will manage the dossier.
4. Attach the necessary documents, including a request letter directed to ANAM, proof of deposit (bordereau de dépôt), and the payment check for registration fees.
5. Detail the medication specifics by filling out the fields for drug name, dosage, presentation, EAN code, and dosage form.
6. Include the required annex documents as specified, such as multiple copies of the bibliographic and summary documents.
7. Review all provided information for accuracy and completeness before proceeding to submit the form.
8. Save your changes, and then download or print a copy of the completed form for your records.

Start your online application today to ensure timely processing of your reimbursement request.