- Home
- CHSS Forms
CHSS Forms
- Retired Employee Annual Family Declaration Form(52 KB , DOC)
- Retired Employee Annual Family Declaration Form(255 KB , PDF)
- Proforma of Bariatric Surgery(23 KB ,PDF)
- Performa for IVF Treatment(15.2 KB ,PDF)
- Glucometer and strip Form(91.3 KB , PDF)
- Retired Employee LifeTime CHSS Contribution(1.46 MB , PDF)
- CHSS Card For Dependent Family Member(10.3 KB , PDF)
- CHSS benificiaries Deletion Form(101 KB , PDF)
- Norms for CHSS Supplementary Items(222 KB , PDF)
- Specialist reimbersment Claim Form No.7(73.5 KB , PDF)
- Transfer of CHSS Case File form(118 KB , PDF)
- Medical Claims Med-97 (for treatment taken from Central Govt. State Govt. Munic Corp. Hospital)(130 KB , PDF)
- EmergencyTreatment Calim FORM NO 7A bilingual(474 KB , PDF)
- Vital submission form(267 KB , PDF)
- Vitamis Essential Certificate(69. 4 KB , PDF)
- Hearing aid reimbersment claim form(190 KB , PDF)
Top
)
