You need to:

(1) Fill in the online form to generate the claim reference number.

(2) Attach the original receipt produced by the clinic at the bottom part of the form nicely.

(3) Submit the complete form (the claim reference number, approved with signature and stamp of the clinic) to office.

___________________________________________________________________________________________________

Here are the steps to fill in the online form:

_____________________________________________________________________________________________________

Once completed the online form, copy the claim reference number generated and write it to the printed form as shown below, highligted with the red colour font: