Download Medical Reimbursement Form PDF for free from hppwd.gov.in using the direct download link given below.
Medical Reimbursement Form
Medical Reimbursement is an arrangement under which employers reimburse the portion of the health expenses incurred by the employee. The Income Tax Act allows tax exemption of up to INR 15,000 on medical reimbursements paid by the employer.
It is certified that the case did not require hospitalization but is one of prolonged nature, requiring medicine attendance at the our-patient department spreading over a period of more than 10 days.
You can download the Medical Reimbursement Form in PDF format online from the link given below.