Example: tourism industry

Hc5 T Refund Claim Form

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HC5(T) Refund claim form - NHS

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

HC1 Claim for help with health costs

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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