Get Maavoi West Bengal Health Scheme For The Journalists, 2016

This guide provides a comprehensive overview of how to complete the application form for reimbursement under the Maavoi West Bengal Health Scheme for the Journalists, 2016. Follow the instructions carefully to ensure your application is filled out correctly and submitted successfully.

Follow the steps to complete your application form online.

1. Press the 'Get Form' button to access the application form for the Maavoi West Bengal Health Scheme for the Journalists, 2016. This will allow you to open the form in your preferred online editor.
2. Enter your Press Card number in the designated field to verify your application.
3. Input your full name and designation using block letters in the appropriate section.
4. Provide your complete address, including both your office and residence information.
5. Indicate the date from which you have been enrolled under the Health Scheme.
6. Select your accommodation category by placing a mark in the appropriate box.
7. Detail the medical treatment received, specifying whether it was in a semi-private or general ward.
8. Enter the name of the beneficiary along with their relationship to you, stating whether it is yourself or another individual.
9. List the name and address of the hospital where the treatment was conducted, along with the hospital's code number for both outpatient (OPD) and indoor treatment.
10. Provide the periods for both OPD and indoor treatment, specifying the start and end dates.
11. Describe the disease for which treatment was sought.
12. State the total amounts claimed for both OPD and indoor treatments, ensuring to sum these amounts correctly.
13. Provide details of any necessary permissions obtained for specialized treatment outside the state and any additional permissions for advanced medical procedures.
14. Read and sign the declaration section, affirming that the information provided is accurate and that all medical expenses incurred were necessary.
15. Include the counter signature of your editor or channel head along with the official seal and date.
16. Once you have completed all sections, ensure to save your changes. You may print, download, or share the completed form as required.

Complete your application online today to ensure timely processing of your claims!