CHECK LIST IN RESPECT OF VARIOUS CATEGORIES
OF PERSONAL CLAIMS OF NAVAL CIVILIANS
MEDICAL CLAIMS
1. A separate claim for each patient is submitted in the prescribed form i.e. IAF MED -97 duly completed in all respects and signed by the authorized
controlling officer.
2. Essential Certificate, ‘A’ (Indoor patient) & ‘B’ (Outdoor patient) along
with the discharge certificate as the case may be, duly completed in all
respects and signal by the doctor.
3. Original prescription, and cash memos duly signed and stamped by the Doctor
should accompany the medical claim.
4. The claim is countersigned & stamped.
5. Dependency Certificate wherein necessary is attached.
6. Reimbursement is not allowed for inadmissible medicines.
7. The claim is submitted within 3 months from the date of completion of
treatment and if submitted beyond the period of 3 months, the delay is condoned
by the head of the Dept.
8. All treatment taken in private hospital, should be routed through the
Command/NHQ to the PCDA (N) for concurrence before submission of claim for
Audit.
9. In the case of treatment from AMA it should be completed within 10 days and
if more than that then it should be continued in the OPD.
10. In the case of prolonged treatment, it should be from recognized hospitals
only.
CLAIMS FOR COMPENSATION UNDER WORKMEN’S COMPENSATION ACT
1) Accident report form –To be filled by the supervisor.
2) Form 24 – report of Accident by the manager.
3) Certificate from Medical Officer of MI Room/dispensary where the individual
is working, referring the case to Government Hospital.
4) Hut Leave Certificates.
5) Certificate of the Government Hospital with details of injury.
6) Form –Z application fro compensation under workmen’s compensation Act 1923.
7) Contingent bill IAFA 115 (Small).
8) Sanction of the Head of Department for grant of compensation.
9) Calculation Sheet.
10) The claim is required to be routed through respective Commissioner Workmen’s
Compensation.
PERMANENT DUTY CLAIMS
1) The Claim is preferred on form IAFT – 1715.
2) All certificates at page 2 of the form IAFT-1715 should be completed.
3) When cartage is claimed for the journey between residence and railway
station, the exact distance involved should be specified and a certificate to
the effect that Govt. transport was not provided for the purpose should be
furnished.
4) The correct ages of children, sisters and minor brothers for whom TA/DA is
claimed are residing with and wholly dependent on the individual (Dependency
Certificate).
5) Certificate that the family members fro whom TA/DA has been claimed are
residing with and wholly dependent on the individual.
6) The stations between which the journey was performed by each member of the
family and the wholly dependent on the individual.
7) PNR number/Ticket nos should be specified for journeys performed by train.
8) Boarding passes are to be enclosed for each leg of journey performed by air,
if journey is performed by private airlines or if e-tickets are purchased.
9) Headquarters letter notifying posting and movement order.
10) Part II CE order notifying the place of transfer.
11) Receipts for conveyance of car, baggage with consignment note.
12) Copy of RC Book is enclosed where transportation of conveyance is claimed to
check the ownership of conveyance.
13) Non avaialability certificate to be enclosed where additional fare is
claimed.
14) Permanent Duty Claims submitted on retirement should specify the public fund
account details viz; name of the bank and the account number, of the unit from
which the individual retired.
LTC CLAIMS
1) Whether the Govt. servant has completed one year of continuous service on the
date of journey.
2) Whether claim has been preferred with in 3 months of the date of completion
of the return journey and in cases where advances have been taken where the
claim has been submitted within a month.
3) Whether the claim is for the journey performed within India.
4) If the journey was performed by road transport or steam service in
conjunction with the railway whether such services are recognized by Govt.
5) Whether the Home Town is permanent Home Town recorded in the Service Book or
as declared by the officer for this purpose.
6) Relationship of members of the family and age of their annual income.
7) CE Order/Dependency certificate to be enclosed with the claim.
8) Whether the official is entitled to the class of accommodation by which he
has traveled.
9) Whether the claim by shortest route.
10) Whether the Govt. servant has intimated about intention to avail LTC before
the journey was undertaken.
11) Check railway tickets, cash receipts, Bus tickets.
12) See that PNR NO.& ticket No. have been quoted.
13) Boarding passes are to be enclosed for each leg of journey performed by air,
if journey is performed by private airlines or if e-tickets are purchased.
14) Whether note of journey has been recorded in the Service Book.
15) Whether the concession has been availed only once during a block of two or
four.
16) Calendar years of during its grace period.
17) Whether any advance taken has been adjusted in full or surplus refunded.
18) LTC admissible during regular/casual/special leave and maternity leave not.
admissible under holidays alone.
19) Production tickets, ticket Nos. bus tickets has been waived by Controlling
Officer in exceptional case.
GPF ADVANCE / FINAL: WITHDRAWAL
1) Claim should be preferred in IAFA – 115 (Small) and countersigned by the
competent authority.
2) Application form must contain full particulars of individual e.g. Name, Desgn,
Personal No. GPF A/C No. Date of birth & Date of Appointment.
3) Details of Outstanding Advance, if nay, rate of Refund and Rate of
subscription.
4) Sanction of competent Authority in original & purpose for which the
advance/withdrawal applied for.
5) Latest CCO -9.
6) Debit Schedule (Appendix A &B) furnishing particular of earlier final
withdrawal/advance as well as the current.
TEMPORARY DUTY CLAIMS
1) Claim is preferred on the prescribed form ie IAFA 1716.
2) All the columns of the form are properly filled. a) Name, Grade, GPF Number,
rate of pay, HQ station, authority for move, sanction, specific nature of duty.
b) Original copy of sanction and movement order is enclosed. c) Details of
journeys, such as hour and date of commencement and conclusion, station from and
to fro each journey, number of days halt at each station. d) Rail I Air I Bus
fare and distance in k.m. from each station are shown in appropriate places.
3) Details of mode of payments mentioned on the claim or forwarding memo.
4) Amount of advance drawn is reflected at proper place with details such as
voucher number, date, and name of unit. The claim is supported with copy of
Advance payment voucher as per recent instruction issued to all command HQ
office.
5) The claimant signs the claim and revenue stamp of Re 1 is affixed if net
amount of claim is more than Rs 5000/-.
6) Station and date of submission of claim is shown in the proper place.
7) The certificates printed on the back side of the claim are completed and
signed by the claimant.
8) The correctness of Rail journey rail fare indicated on the claim may be
verified with railway timetable.
9) Detention certificate is enclosed wherever necessary, ie for duties like
training, visiting to store Depot for collection of naval stores etc.
10) TA is claimed from HQ to duty point and vise-versa, daily allowance is
claimed from railway station I Air Port I Bus Stand to Railway station I Air
Port I Bus stand.
11) The claims of officers who have been delegated with powers by the
Controlling officer to countersign the claims of the officials of
Establishment/Unit are required to be signed by the next superior authority.
12) In case the move is for course, examination etc, a certificate to the effect
that he/she ha not attended similar course I examination previously is enclosed
with the claim.
13) The duty performed is such as to entitle the individual who performed it to
TA under rules and that sanction of prescribed authority has been accorded under
rule 4 of TR.
14) Recover the penal interest, if the claim is not preferred within stipulated
time limit.
15) Bill for same journey is not preferred and admitted previously.
16) Daily allowance for journey and halt is claimed at the correct rate for
Hotel rate DA original hotel receipt is enclosed duly indicating Resignation No.
17) Boarding passes are to be enclosed for each leg of journey performed by air,
if journey is performed any private airlines or it e-ticket are purchased.
