Get Hc5(t) - Nhs - Claim Form For Refund Of Travel Costs By ... - Issuu

Filing an HC5(T) claim form for refund of travel costs is an important step for individuals who have incurred expenses while receiving NHS treatment. This guide will provide you with clear, step-by-step instructions on how to successfully complete the form online.

Follow the steps to accurately complete the HC5(T) claim form.

1. Click ‘Get Form’ button to obtain the HC5(T) claim form and open it for editing.
2. Begin filling out the personal details section. You will need to provide the patient's surname, other names, address, postcode, date of birth, email address, and contact number. Ensure that the information matches official documents.
3. Indicate whether you are filling this form out for yourself or for someone else, making sure to specify their details in the appropriate sections, including a confirmation of their eligibility.
4. In part 2, provide detailed information about the travel expenses incurred. List the dates of travel, the amounts paid for each visit, and attach any relevant tickets or receipts as proof.
5. Complete part 3 by ticking the appropriate boxes that apply to your current benefit status. If you do not have a certificate, include a copy of your award notice.
6. In part 4, read the declaration carefully. Sign and date the form to confirm that the information provided is accurate and complete.
7. Verify that the claim form is submitted to the correct NHS Business Services Authority address identified in part 4 within three months of the date any charges were paid.
8. Finally, save the changes to your completed form. You may choose to download, print, or share the form as needed for submission.

Complete your HC5(T) claim form online today to ensure you receive your entitled travel cost refunds.