Claim for for a refund of optical charges - HC5(O)

Series : Help with health costs

Published : April 2012
Page Length : 4
Format : Form A4
Supplier : N/A
Publisher : Department of Health

This form can be used to claim back the cost of a sight test, glasses or contact lenses on low income grounds.

Maximum Order: 100

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Claim form for a refund of optical charges HC5(O) 201204.pdf

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