Download application form of renewal of cghs plastic card for serving employees. Cghs contribution may be mentioned in the salary certificate. Health benefits card will be provided by government and save deposited of the same is the responsibility of the employee, to add the names of family members in cghs plastic card, employee should fill their details filled in application form with attached photo, where the name of family member to be added must be as per government id proof attached for reference. Forms can be downloaded from cghs website or can be taken from office of ad jd of city. Looking for information on the central government health scheme. A message will appear on the screen requesting to take a coloured printout and get the card laminated. After downloading the card in pdf format beneficiary can take a colour print. Download application form of renewal of cghs plastic card for pensioners. Disp type card no benid print date beneficiary name mobile no addres signature 1. Form mrc s for serving employees central government health scheme medical reimbursement claim form to be filled up by the principal card holder in block letiers 1. To download the cghs application form follows the below link and you can. How to apply for cghs plastic card central government. If i fail to intimate and if the cghs comes to know of the change then the cghs facility is liable to be withdrawn by the cghs and the cghs and or appropriate. I undertake to surrender the cghs cards on ceasing to be eligible for cghs benefits.
Eligible serving employeespensioners have to apply in the prescribed form. Eligible serving employeespensioners have to apply in the prescribed form available on cghs website. In a major relief to lakhs of central government health scheme cghs beneficiaries, the govt. Form to be used by the medical board when reporting on injuries diseasedeath. Cghs plastic cards were introduced in september, 2008 in delhi ncr and the cards were initially issued with. Duplicate cghs card can be obtained against lost card by applying for the same to. Cghs rates easy search package rates for treatments procedures and investigations. Apply online for central government health scheme plastic. Eligible serving employeespensioners have to apply online or in the prescribed form. Online transfer of cghs cards from one city to another cghs covered city. Application forms available for download for plastic card. Form a application for cghs card for serving employees of central government.
The undersigned is directed to refer to this ministrys o. Forms for central government health scheme beneficiaries. Cghs beneficiaries without plastic card can also apply for the plastic card. Application for new plastic card in fillable pdf about forms compiled in pdf fillable as excel word format these forms retain the original format of the form. Apply online for central government health scheme plastic card. Download the application form for loss of card from official website along with two recent photographs of.
Site design and hosting support by national informatics centre, kerala state centre. Plastic cards for cghs beneficiaries already enrolled and have not applied for plastic cards. A serving employee on marriage or on the birth of his her child may get the names of spouse child added to the card after submitting the form for addition duly endorsed by his department. The following list of forms is available on cghs website. Cghs application for new plastic card in fillable pdf. Application for renewal of plastic card pensioners. Apply for new cghs plastic cards through online central.
Government employees or pensioners can apply for cghs plastic card by filling an online form. Cghs card for central government pensioners contribution as above depending on the last grade pay at the time of retirement. Ministry of health and family welfare, government of india had started central government health. Procedure to get a cghs plastic card cg staff news, 7th. Cghs forms in excel word format click the form to download. Certificate of necessity for bipap and bilevel ventilatory support. Get the info on medical reimbursement form, cghs plastic card, ministry of health and family welfare, cghs login. Requisition for pensioners cghs card s shall be accompanied by three copies of recent 3 x 5 cm size individual photographs of all family members of the retiring employee, one set of which shall be pasted on the application form and shall be attested by a gazetted officer in charge of administration other than cghs. Add or delete name in cghs card with new simple process. 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.
The form should be completely filled up with individual photographs pasted as specified in the form download the form here following documents need to be attached. Central government new employees or pensioners can apply online for central government health scheme cghs plastic card. The plastic cards are available after one month of the application at the parent wellness centre of the card holder. Click print card for the beneficiary whose card needs to be printed. Read this article to know complete details about plastic cards, application procedure and steps to check card status online. Click print cghs card a message will appear on the screen requesting to take a coloured printout and get the card laminated. One get a cghs card made from the office of ad jd of the city. Central government health scheme gghs plastic card. The cghs card holder must surrender the card to the concerned department if heshe is shifting to a non cghs covered area. Cghs beneficiaries without plastic card can also apply for the. Forms can be downloaded from cghs website or can be taken from office of. Application for cghs card applying for new cghs card in case of new pensioners card cghs card no. Form b application for cghs card for pensioners of central.
If i fail to intimate and if the cghs comes to know of the change then the cghs facility is liable to be withdrawn by the cghs and the cghs andor appropriate. Application for renewal of plastic card pensioners mandate form for individuals. We are looking for a doctor with mbbs preferebly md medicine for contractual appointment. Download application form of renewal of cghs plastic card. Online transfer of cghs cards of serving employees on transfer from one cghs covered city to another cghs covered city reg. How to check cghs card status online india study channel. Central government health scheme cghs list of cghs forms.
Contribution for life time cghs card for pensioners. Form of letter to the chief administrative medical authority for medical examination in connection with the commutation of pension form 3. Application form to enroll central government pensioners for central government health scheme also read admin forms apar for various cadres in kendriya vidyalaya may 5, 2011 admin forms application form for withdrawal from tier ii nps account mar 9, 2011 click the following link to download the form download application form for pensioners cghs card. Application form for renewal of cghs card serving employees. Get downloadable forms for beneficiaries of central government health scheme cghs, ministry of health and family welfare. If i fail to intimate and if the cghs comes to know of the change then the cghs facility is. As soon as the application for cghs card is accepted at the cghs card section, an acknowledgment letter is issued to the applicant mentioning the card number and the ben id of all family members. Click the below link to download the application form. Enter the one time passwordotp sent on registered mobile.
Apply for new cghs plastic cards through online on. Users can access forms for cghs cards for pensioners, cghs cards for serving, medical reimbursement claim form, application form for cghs plastic card, etc. One who has lost the plastic card provided by central government health scheme should submit fir copy from local police station, complaint copy given to police station containing cghs card details. Central govt is running around 35 projects and schemes in india. Click ok download or open the cghs card in pdf format. In most of the scheme, the central government is having a stake from 70% to 100%. Surrender certificate of cghs card while in service. Online transfer of cghs cards from one city to another. Please note that you can fill the excel word format form before printing for your onward submission which is free from cuttings overwriting. Required documents for serving employees cghs card 1.
Download central government heath scheme cghs application for renewal of plastic cghs card for pensionersfillable pdf which you can fill before print on your pclaptop. One can apply for a life time card by paying 10 years contribution together or one can apply for one year, two years etc. Enter the one time password otp sent on registered mobile. If i fail to intimate and if the cghs comes to know of the change then the cghs facility is liable to be withdrawn by the cghs and the cghs and or appropriate authority will be free to initiate any action against me.
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