Sample Application format for Medical Allowance Issuance

Sample Application format for Medical Allowance Issuance

[Here briefly describe on sample Application for medical allowance issuance to company or department. To get medical issuance as per company policy you need to submit medical bills of on panel hospitals, pharmacies, and doctors.]

Date…

The Managing Director,

Institute Name…

Institute Address…

Subject: Application for Medical Allowance Issuance

Dear Sir,

I am (Name) working as a (Job designation) at (Department and institute name), for 5 years. I am writing to request you for issuance of my medical allowance as per company policy. Last month I was sick and couldn’t attend my office for medical reasons. (show your actual problem). Now I have recovered from sickness and joined back my office from (date). (show your present situation or financial condition). I got all the treatment from a hospital in company’s panel list.

I have attached all the bills from hospitals and pharmacies with this application for clearance of my medical allowance as per company policy. I request you to please issue all medical allowance payment as soon as possible.

Thank You,

Name…

Job Designation…

Contact no…

Signature.

 

Another format,

Date…

The HR Manager,

Institute Name…

Institute Address…

Sub: Application for Medical Allowance Issuance

Dear Sir,

It is stated that I had knee injury three months ago as a result of a road accident. (show your actual problem). I undergone my treatment and partially recovered from pain. From the past one week, I was feeling pain again in my knee so I showed up to my doctor. (state your present situation). After all medical checkups, I was advised to undergo a knee surgery in order to get permanent relief from the pain.

I have attached all the bills from hospitals and pharmacies with this application for clearance of my medical allowance as per company policy. I request you to require the amount of money I will have to spend on my treatment in the consent of medical allowance for employees.

I shall be very grateful to you

Yours sincerely,

Name…

Job Designation…

Contact no…

Signature.