Application for Medical Assistance.

  • This application is applied for financial assistance in case of minor ailments.
  • Documents to be submitted with application:
  • 1. Proof of Identity/Smart card issued by the Board
  • 2. Employment Certificate
  • 3. Proof of Bank Account
  • 4. Bills of hospital showing Admission and Discharge Dates and all treatment given
  • 5. Any medical documents on hospitalization of beneficiary/dependent in government/private hospital included in schedule1 of the Karnataka government servents(medical attendance) Rules 1963.
  • 6. Form XXII-A
  • 7. Application can be submitted wihtin 6 months of hospitalisation commencement date.
  • Application Fee : NIL
  • Service Charge (Grama one| B1| K1) :NIL
  • ServiceTime (Days) : 30 Days
  • Refer the Guidelines.
  • To apply online click here