Application for Reimbursement of Medical Treatment Expenses due to accidental injury

        This template given below about an employee who employed at private company and he want to apply for reimbursement of medical treatment expenses due to accidental injury.   

To:              The Manager,

                   Company Name,

                   Address

Subject:     Application for Reimbursement of Medical Treatment
                  Expenses due to accidental injury

 Respected Sir,

           Respectfully, I want to say that I am as employee of your company and doing the job as computer operator. I am requesting through this letter that my medical treatment expenses incurred to Rs. 50,000.00 during the treatment of my accidental injury. As per policy of company or department 30% amount of said amount which equal to Rs. 15,000/- may be reimburse as soon as possible. A complete file of medical treatment reports including bills and required relevant documents are attached.

          I hope you will accept my request. I will be thankful to you for this kindness.

 

Sincerely,

Computer Operator Sajid Ali

Signature____________

Phone No. 0300-1234567

Application for Reimbursement of Medical
Treatment Expenses due to accidental injury