A health equity reimbursement form is a form which is filled by an individual to apply for health equity reimbursement which means that a part of the salary of that individual will be used for health equity or for medical expenses each month. These forms are formally drafted documents which are quite commonly used by many working people so as to secure a part of their salary for medical or health related purpose of emergencies. Any health equity reimbursement form is available at the health institutes for each district which are recognised by the government. A sample of a health equity reimbursement form is given below.
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Sample Health Equity Reimbursement Form:
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