Get Chss Form 7 2020-2026

The Chss Form 7 is an essential document for government employees seeking reimbursement for medical expenses. This guide will walk you through the process of filling out the form online, ensuring that you understand each section and can complete it accurately.

Follow the steps to successfully complete the Chss Form 7 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In section 1, provide your name in block letters as well as your designation and service number.
3. For section 2, enter your full residential address to ensure proper communication.
4. In section 3, specify the name of the patient and their relationship to you. If the patient is a child, include their age.
5. Enter the CHSS registration card number in section 4 to identify your eligibility for the scheme.
6. Section 5 requires details of the specialist consultation; fill in the name of the specialist and the consultation number and date.
7. In section 6, provide the name of the hospital or polyclinic and the period of stay for hospitalization.
8. In section 7, list the total cost of medicines purchased. Ensure you attach all relevant cash memos.
9. Specify the total amount you are claiming in section 8.
10. In section 9, choose your desired mode of payment (cash counter, bank, or salary) and fill in the respective amount.
11. Finally, read the declaration and sign it, providing the date and your phone number.
12. Once all sections are filled out, review your form for accuracy, then save changes, download, print, or share the completed Chss Form 7.

Complete your Chss Form 7 online to streamline your reimbursement process.