Before you begin
Complete all applicable sections, add your supporting documents, review the information provided and generate your completed claim document. The generated claim form and original supporting documents must then be sent to Human Resources.
Employee information
Identify the employee making the claim and the person who received the medical care.
Who received the medical care?
The claim is for the employee. The patient name will match the employee name.
Claim details
Add each medical expense you are claiming. All amounts are claimed in Mauritian Rupees (MUR).
Add an expense
Up to two decimal places. Zero and negative amounts are not accepted.
Supporting documents
Select the documents that support your claim so that they are listed on your claim form.
Choose the category first, then select or drop the matching files. At least one medical receipt is required.
Drag your documents here
or browse your computer — PDF, JPG, JPEG or PNG, up to 10 MB each
Employee declaration
Confirm that the information in your claim is complete and accurate.
“I certify that the information provided in this claim is complete, accurate and valid. I understand that supporting documents may be reviewed by Human Resources and that additional information may be requested where necessary.”
Taken from the employee name entered in step 1.
Today's date on this computer.
Review and finalise
Check every detail below. You can return to any section to make corrections before generating your claim.
Your claim is ready to send
The claim document has been generated on this computer. Print it or save it as a PDF, then email it to Human Resources with your original supporting documents attached.
Next steps
- Open the claim document and save it as a PDF, or print it.
- Prepare the email to Human Resources from this screen.
- Attach the saved claim document and your original supporting documents to that email before sending it.