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Get the free 2012 Wellness Rewards Program Request Form

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What is 2012 wellness rewards program

The 2012 Wellness Rewards Program Request Form is an employment document used by City employees and their spouses to submit wellness activities for rewards that contribute to their Healthcare Flexible Spending Account (FSA).

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2012 wellness rewards program is needed by:
  • Full-time City Employees seeking wellness rewards
  • Spouses of City Employees participating in wellness activities
  • Human Resources personnel managing employee benefits
  • Wellness program coordinators in San Antonio
  • City of San Antonio employees involved in healthcare reimbursement

How to fill out the 2012 wellness rewards program

  1. 1.
    Access the 2012 Wellness Rewards Program Request Form on pdfFiller by searching for the form name in the document library or using a direct link provided by your HR department.
  2. 2.
    Open the form, ensuring it displays all necessary fields. Familiarize yourself with the layout, including areas for personal and activity information.
  3. 3.
    Before filling out the form, gather required information such as your employee name, ID number, department, and details of the wellness activities you have completed.
  4. 4.
    Begin by entering your Employee Name in the designated field. Then, fill in your Employee ID Number or SAP, as this is a required field.
  5. 5.
    Proceed to indicate your department accurately, which helps in processing your request efficiently.
  6. 6.
    Next, list the completed wellness activities. Be sure to check the corresponding boxes for eligible activities, ensuring you meet the program's requirements.
  7. 7.
    Once all fields are filled in, review your entries for accuracy. Check that all required documentation is gathered and attached if needed.
  8. 8.
    To finalize the submission, save your changes and download a copy for your records. You can also submit directly through pdfFiller, following prompts to share or send the form to the appropriate HR department email.
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FAQs

If you can't find what you're looking for, please contact us anytime!
The form is available to full-time, active civilian employees of the City of San Antonio and their eligible spouses who have participated in qualifying wellness activities.
The submission deadline aligns with quarterly periods in 2012. It's advisable to check with your HR department for specific dates to ensure timely processing.
You can submit your completed form via pdfFiller. Just save and download your filled-out form, then send it to your HR department's designated email for processing.
While completing the form, ensure to attach any required documentation related to your completed wellness activities, such as proof of participation or completion certificates.
Be careful to fill out all required fields, especially the Employee ID number. Double-check that documentation is included and that you've selected all relevant wellness activities.
Processing times may vary but typically take a few weeks depending on HR workloads and the completeness of your submission. It's best to submit early to account for potential delays.
If you encounter issues, consult your HR representative for assistance. They can provide guidance and ensure you fill out the form correctly for submission.
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This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.