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Healthy Lifestyles SM Program Reimbursement and Order Form Congratulations on making the commitment to improve your health! Name Date of Birth / / Yes! I have completed all requirements of the following
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Healthy lifestyles program reimbursement is a program that reimburses individuals for expenses related to promoting and maintaining a healthy lifestyle, such as gym memberships or wellness classes.
Employees who are enrolled in a company's healthy lifestyles program are required to file for reimbursement.
To fill out a healthy lifestyles program reimbursement form, employees must provide receipts or documentation of the expenses incurred for promoting a healthy lifestyle.
The purpose of healthy lifestyles program reimbursement is to incentivize and support individuals in adopting and maintaining healthy habits.
On a healthy lifestyles program reimbursement form, employees must report the date of expense, type of expense, and the amount spent.
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