Get Form 10i

Filling out Form 10i is essential for obtaining a certificate of prescribed authority for specified disabilities under section 80DDB. This guide will walk you through each section of the form, ensuring you provide all necessary information accurately and efficiently.

Follow the steps to complete Form 10i online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first field, enter the name of the patient as it appears on their identification documents.
3. Fill in the patient’s address, ensuring it is complete and up to date.
4. Provide the father’s name of the patient for record-keeping purposes.
5. Identify the name and address of the person on whom the patient is dependent, along with their relationship to the patient.
6. Clearly state the name of the disease or ailment that the patient is suffering from, as required by rule 11DD.
7. For certain diseases, specify whether the disability extent is 40% or more, providing relevant details.
8. Enter the name, address, registration number, and qualifications of the specialist who is issuing the certificate. Include the name and address of the government hospital as required by rule 11DD(2).
9. In the verification section, the issuing doctor must complete their details, affirming that the patient is suffering from the stated disease during the previous year.
10. Ensure that the verification includes a statement about the extent of disability, striking off if not applicable.
11. The issuing doctor must sign and date the form, providing their name and address.
12. If required, obtain a countersignature from the head of the government hospital, including their name, address, date, and signature.
13. Once all fields are completed, review the form for accuracy. You can then save changes, download, print, or share the completed form as needed.

Complete your Form 10i online today to ensure all necessary medical documentation is accurately submitted.