Get the free Employee Tobacco Attestation Form - campbell

Employee Tobacco Attestation Form Effective for Plan Year January 1, 2017, December 31, 2017, Campbell wishes to promote healthy lifestyle choices for its employees, and does so in part by using healthcare

How to fill out employee tobacco attestation form

How to fill out employee tobacco attestation form:

1. Obtain the employee tobacco attestation form from the human resources department or download it from the company's intranet.
2. Provide your personal information, such as your full name, employee ID number, and contact details, in the designated fields on the form.
3. Read and understand the statement affirming whether or not you use tobacco products. Tick the appropriate box indicating your response.
4. If you answer "Yes" to using tobacco products, you may need to provide additional details or explanations as required by the form.
5. Sign and date the form at the bottom to confirm the accuracy of the information provided.
6. Submit the completed form to your supervisor, HR department, or any other designated party according to your company's procedure.

Who needs employee tobacco attestation form:

1. New Employees: When joining an organization, new employees may be required to complete an employee tobacco attestation form as part of the onboarding process.
2. Existing Employees: Employers may periodically require existing employees to update or reconfirm their tobacco usage status by filling out the form.
3. Insurance or Wellness Programs: Some companies offer insurance or wellness programs that require employees to disclose their tobacco usage in order to determine eligibility or calculate premiums.
4. Compliance with Policies: Employers may implement a tobacco-free workplace policy and use the attestation form to ensure employees comply with the policy.
5. Legal or Regulatory Requirements: In certain industries or jurisdictions, employers may be obligated to collect and maintain documentation regarding employees' tobacco usage for legal or regulatory purposes.

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What is employee tobacco attestation form?

Employee tobacco attestation form is a document where employees declare whether or not they use tobacco products.

Who is required to file employee tobacco attestation form?

All employees are required to file the employee tobacco attestation form.

How to fill out employee tobacco attestation form?

Employees can fill out the form by indicating their tobacco use status and signing the document.

What is the purpose of employee tobacco attestation form?

The purpose of the form is to gather information about employees' tobacco use for company policies and health programs.

What information must be reported on employee tobacco attestation form?

Employees must report whether they use tobacco products or not.