Get Fixed Medical Allowance To Railway Pensioners Form

Filling out the Fixed Medical Allowance To Railway Pensioners Form online can simplify the process of securing your medical benefits. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to complete the form online effectively.

1. Press the ‘Get Form’ button to access the form and open it in your chosen editor.
2. Begin by entering your full name where indicated at the top of the form. This should reflect the name associated with your pension records.
3. Next, specify your relationship with the deceased Railway employee in the designated section. Choose words carefully to ensure clarity.
4. Fill in the office address of the deceased Railway employee to provide necessary context for your claim.
5. Indicate your current residential address as mentioned in your Pension Payment Order (PPO). This information is vital for verifying distance from the nearest Railway health unit.
6. State the name of the nearest Railway hospital or health unit in the specified field, referring to Annexure-III of the Railway Board’s letter.
7. Choose to claim the Fixed Medical Allowance of either Rs. 100 or Rs. 300 per month, as per your eligibility, by marking your selection in the relevant section.
8. Acknowledge your understanding by confirming that you will not avail of Outpatient Department (OPD) facilities at Railway hospitals/units, except for chronic diseases as outlined.
9. Indicate the period for which you are claiming the Allowance, detailing the date of retirement or last OPD visit accordingly.
10. Conclude the form with your signature, along with your full name, PPO number, account number, and bank/post office details. Ensure that the information is correct and legible.
11. Review the completed form for accuracy. Once everything is correctly filled, save your changes, and confirm the document is ready to be printed or shared.

Take the next step in managing your benefits by completing the Fixed Medical Allowance To Railway Pensioners Form online today.