Form 10i 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Name of the Patient' in the designated field. Ensure accuracy as this is crucial for identification.
3. Next, fill in the 'Address' of the patient. This should be their current residential address.
4. Provide the 'Father’s name' in the appropriate section, which helps establish familial relationships.
5. In the next field, enter the 'Name and address of the person on whom the patient is dependent' along with their relationship to the patient.
6. Specify the 'Name of the disease or ailment' as per rule 11DD. This is essential for processing claims.
7. Indicate whether the disability is 40% or more if applicable, and provide details as required.
8. Complete by filling in details about the specialist issuing the certificate, including their name, address, registration number, and qualifications.
9. Finally, ensure that all verification sections are completed accurately before signing and dating your submission.

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