Application Forms available for download for Plastic Card. Application for New Plastic Card PDF [ KB]; Application for Renewal of Plastic Card (Pensioners) . Application Forms for Plastic Card · Application for New Plastic Card PDF [ KB]; Application for Renewal of Plastic Card (Serving Employees) PDF [91 KB]. Central Government Health Scheme (CGHS) Forms. Application form for new CGHS plastic cards - This form is used to apply for a plastic card that is mandatory while availing medical services at the empanelled hospitals. Application form for renewal of plastic card (pensioners.
I Undertake to intimate to CGHS immediately if there is any change in dependency criteria of my family members included in this application form. If I fail to. Downalod Medical Certificate/Forms, Application for CGHS Card for pensioners, CGHS Reimbursement Claim Forms. APPLICATION FOR CGHS CARD FOR SERVING EMPLOYEES OF CENTRAL GOVERNMENT. 1. Name of family members included in this application form.
I undertake to intimate to CGHSimmediately if there is any change in dependency criteria of my family membersinduded in this application form. If I fail to intimate. MEDICAL REIMBURSEMENT CLAIM FORM. (To be filled up by the Principal Card holder in BLOCK LETIERS). 1. (a) Name of the Principal CGHS Card Holder. APPLICATION FOR ISSUE OF CGHS CARD TO CENTRAL GOVT PENSIONERS . calefactoresbromic.com of the criteria of my family member Included in this application form. Forms & Downloads Application for CGHS Card - Serving Employees Bilingual . Application for change of Wellness Medical Reimbursement Claim Forms.