Civil Affairs Bureau reimbursement of serious illness application how to write?

Civil Affairs Bureau of major illnesses aid application conditions 1, urban and rural low-income objects; 2, rural Five Guarantees object, the city of three people; 3, the government to support the orphans and disabled children; 4, due to the disease caused by the actual daily consumption of basic living expenditures less than the local minimum subsistence standards of the poor families; 5, the above objects of aid need to have a local hukou, to participate in the urban (employees, residents) health insurance or the new rural cooperative medical care The above objects need to have local household registration to participate in urban (employee, resident) medical insurance or new rural cooperative medical care, and be treated in designated medical institutions, and be reimbursed by medical insurance.