Get Application For The Reimbursement Of Medical ... - Saraswat Bank

This guide provides a comprehensive overview of how to accurately fill out the Application For The Reimbursement Of Medical Expenses under the Members’ Welfare Fund Scheme of the Saraswat Bank online. Follow the steps below to ensure that your application is completed correctly and submitted for reimbursement.

Follow the steps to complete and submit your application online

1. Click ‘Get Form’ button to access the application and open it for editing.
2. Enter the member’s full name in the designated section. Include the surname and first name, as well as the father’s or partner’s name. Make sure to fill in the member registration number (M.R.No.) and the date of becoming a member.
3. Provide your complete address in the ‘Residence’ section, including the pin code and telephone number. Also, fill out the ‘Office’ section with your work address, pin code, and office telephone number.
4. Indicate the amount of reimbursement requested, and specify the nature of the illness. Include whether the claim has been made or received from your employer, your partner’s employer, or a medical insurance policy.
5. State whether the reimbursement is claimed for yourself, your partner, or a handicapped child. Total the amount of medical bills claimed and list the source (i.e., name of the insurance company or employer).
6. Make a declaration that the information provided is true, and request the reimbursement be credited to your savings account or ask for a pay order. Fill in your savings account number and the branch information.
7. Tick the relevant boxes to indicate the documents you are enclosing with your application. Ensure that you have included income proof, original bills, a doctor’s certificate, and a receipt for bills over Rs. 500.
8. Sign the application form where indicated and include the date of submission. Make sure to review all entries for accuracy.
9. Once completed, save the changes made to the application. You can download, print, or share the form as necessary.

Take action now and complete your medical reimbursement application online to ensure timely processing.