Get Wha Claim Form

Filling out the Wha Claim Form online is a straightforward process that requires your careful attention to detail. This guide will provide you with clear instructions on how to complete each section of the form effectively.

Follow the steps to successfully fill out the Wha Claim Form.

1. Click 'Get Form' button to obtain the Wha Claim Form and open it in your preferred online editor.
2. In Part 1, enter the details of the contributor. Provide the date of birth, name, address, and postcode. Select the marital status by ticking the appropriate box and include the employer name and membership number. Add a daytime telephone number.
3. Indicate who you are claiming benefits for by providing names, ages, and relationships to the contributor for all individuals, including a spouse or children under 18.
4. Complete the contributor's declaration by confirming the accuracy of the information provided. Sign and date this section.
5. Proceed to Part 2 for the certification of membership. This section must be completed by an authorized person at the contributor’s place of employment. Provide employer details, including name, signature, and date contributions were paid up to.
6. For Sections 1 and 2 regarding hospital inpatient and outpatient claims, fill in patient details such as name and medical classification. Include the hospital’s official stamp and required signatures for verification.
7. For any additional claims such as maternity, dental, or optical treatments, follow the respective sections to provide necessary details and practitioner certifications. Ensure to attach all required receipts.
8. After filling out all relevant sections, review all entries for accuracy. You can then save the changes, download, print, or share the form as needed.

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