Foshan Social Security Maternity Insurance Application Form

Generally, it takes the following format:

XX Branch of Shenzhen Social Insurance Fund Administration:

I am XXX, a resident of Shenzhen Nanshan High-tech Zone (female, ID number XXXXXXXX；xxxx), and a local maternity medical insurance participant (social security card number: xxxxxxxx; Computer number: xxxxxxxx), registered for marriage on 20 10, X. Because my family and work place are currently in XX city, XX province, the nearest hospital for prenatal examination and hospital delivery is XXXXXX hospital in XX city. I gave birth to a daughter by caesarean section in a different place in XXXXX Hospital, XX City, XX Province in 2002+X month. My first marriage and early childbearing were in line with the national birth policy.

According to the relevant regulations of Shenzhen maternity medical insurance, I now apply for reimbursement of my off-site birth check-up and off-site delivery expenses, please handle it!

Applicant: (signature)

Application time: 20 12 x month x day

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.