We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Med 97 Form

Get Med 97 Form

Med. 97B Form of application for claiming refund of medical expenses incurred in connection with medical attendance and/or treatment of Central Government servants and their families For Medial Attendance.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Med 97 Form online

The Med 97 Form is an essential document for Central Government servants to claim refunds for medical expenses associated with treatment and attendance. This guide provides a comprehensive overview to assist you in completing the form accurately and efficiently online.

Follow the steps to complete the Med 97 Form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the name and designation of the Government servant in block letters. Indicate whether they are married or unmarried, and if married, provide the name of the spouse’s workplace.
  3. State the office where the Government servant is employed.
  4. Detail the pay of the Government servant as defined by the fundamental rules, listing any additional emoluments separately.
  5. Provide the place of duty and the actual residential address of the Government servant.
  6. Input the name of the patient and their relationship to the Government servant, including the age of any children.
  7. Specify the place where the patient fell ill.
  8. List the amounts claimed under medical attendance, categorizing the expenses for consultations, tests, and medicines. Include details about the medical professionals consulted, including their names and designations.
  9. Calculate the total amount claimed and indicate any advance taken along with the net amount claimed.
  10. Compile a list of enclosures required for the claim, such as memos and certificates if applicable.
  11. Complete the declaration by confirming the truthfulness of the statements and sign it, stating the date and the office to which attached.
  12. After completing all sections, ensure to save your changes, download the form, and print or share it as needed.

Start filling out the Med 97 Form online today to ensure your medical expenses are properly refunded.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

MED-3 - Virginia DMV
Purpose: Use this form to request the Department of Motor Vehicles (DMV) to conduct a...
Learn more
GCC Dean Bozzuto [MEd '97] retires after 25 year...
May 16, 2019 — Breezing through her packed workdays, Dean Vicki Bozzuto could make...
Learn more
Medicine - Wikipedia
Medicine is the science and practice of establishing the diagnosis, prognosis, treatment...
Learn more

Related links form

Modification Of Custody Packet Updated 3-21-14. Eligible Organization Games Of Chance Application Razberi RAZ-M16-4T User Manual - Use-IP Ndt Request Form Manuale Comau C5g

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Med 97 Form
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232