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Dependent Family Member Affidavit: Medical, Pension & Tax

Written by the SarkariKagaz Team · Updated September 2026 · 3 min read
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Quick answer

Medical reimbursement, income tax, pension, and compassionate appointment claims all commonly ask for a declaration that a family member is financially dependent on you. Generate yours free.

How Is "Dependent" Defined?

Most schemes define a dependent as a family member whose own income is below a specified threshold. This threshold varies by employer, scheme, and purpose - check the exact income limit that applies to your specific claim before relying on a fixed figure, since it changes across departments and years.

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Pick your purpose - medical reimbursement, income tax, pension, or compassionate appointment - and fill in the dependent's details.

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Common Rejection Reasons During Verification

Claims are most often returned for not stating the exact relationship clearly, for missing an explicit statement that the dependent's income is below the prescribed threshold, or for using this general format where the department specifically wants its own dependency-certificate form (common for CGHS/CS(MA) medical reimbursement and compassionate appointment claims) alongside it.

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Disclaimer

This is a reference format, not legal advice. The income threshold that defines "dependent" and the exact document required varies by employer/scheme - check your specific department's or scheme's rules before submitting.

Dependent Family Member Affidavit के बारे में हिंदी में जानकारी

Medical reimbursement, income tax, pension dependency, या compassionate appointment के लिए, यह declaration देनी होती है कि परिवार का कोई सदस्य आप पर आर्थिक रूप से निर्भर है। यहाँ free में बनाइए।

Frequently Asked Questions

A sworn declaration confirming a family member is wholly or mainly dependent on you financially - used for medical reimbursement, income tax dependent declarations, pension dependency certificates, and compassionate appointment claims.
A declaration (often combined with this affidavit) confirming a parent or other listed dependent's income falls within the limit prescribed by the employee's department, required for medical reimbursement and other dependent-linked benefits.
Yes - compassionate appointment schemes typically require declaring which family members were dependent on the deceased/incapacitated employee, including a dependent brother or sister where applicable.