Covid 19

Covid – 19 Application form for claiming compensation in case of death of a member who is living below the poverty line due to viral infection

Sl. No	Forms	Description	Download
1	Form-1	Covid – 19 Application form for claiming compensation in case of death of a member who is living below the poverty line due to viral infection	Form – 1
2	Form-2	Covid – 19 Application form to get the amount of compensation in case of death of a member who is living below the poverty line due to viral infection of FORM – 2 (Self Declaration Form)	Self Declaration Form
3	Form-3	Covid – 19 Application form for claiming compensation in case of death of a member who is living below the poverty line due to viral infection Form – 3 (Letter of Disclaimer)	Letter of Disclaimer

**Helpline No: Department of Health, Udupi – 9663957222, 9663950222**
Name	Designation	Office	Contact No
Dr. Nagabhushan Udupa	District Health Officer	2536650/2525566	9449843066
Dr. Madhusudhan Nayak	District surgeon	2530333/252055	9449843181
Dr. Nagaratna	District Surveillance Officers	2525561	9449843271
Dr. Tejaswini	Epidemiologist	–	8951540905

**Taluka Health Officers**
Name	Designation	Office	Contact No
Dr. Vasudev	Udupi	0820-2526428	9449843271
Dr. Rajeshwari	Kundapur	08254-230730/230731	8277505911/725936500/7919083875
Dr.Krishnanand Shetty	Karkala	08258-231788	8277505892/9110859831/8050881011