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Hc5 T Refund Claim Form

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HC5(T) Refund claim form - NHS

www.nhs.uk

HC5(T) Refund claim form: travel costs to receive NHS treatment Please read this page before filling in this form - it will help you make this claim correctly. Use a separate form for each person who has paid travel costs or has had travel costs paid for them. Part 4 tells you where to send the completed form.

  Form, Claim, Refund, Refund claim form

HC5(D) Refund claim form - assets.nhs.uk

assets.nhs.uk

To claim a refund you must complete this form and include all original receipts. If you have paid for other NHS charges you must use the claim form for the charge you have paid. There is a separate form for each type of charge (HC5(O) for optical costs, HC5(T) for NHS travel costs and HC5(W) for wigs and fabric support charges).

  Form, Claim form, Claim, Refund, Refund claim form

HC1 Claim for help with health costs

www.nhsbsa.nhs.uk

• The appropriate refund claim form HC5 for the charge you paid, (it tells you what to do); and • your optical prescription, if you are claiming back money you have paid for glasses or contact lenses. If you need form HC5 You can usually get form HC5 from a Jobcentre Plus office and NHS hospitals. You can also ask for one at

  Form, Claim, Refund, Refund claim form hc5, Form hc5

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