Format of Legal Documents Drafting Affidavit Format For Medical Reimbursement April 5, 2016 by Legal India News | Leave a Comment I, _____ son of/ wife of ____, resident of House ____, do hereby solemnly affirm and declare as under :- 1- That I state that I am dependent of ____ who ____. 2- That I further state that my ___ was admitted in ____ on ____ as __ was suffering from ____ and __ was […] Read more ยป Affidavit Format Affidavit Proforma Affidavit Sample Medical Reimbursement Medical Reimbursement Affidavit