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WellnessRewardsEmployeeAttestationForm 2019WellnessProgram ThisformwillbeacceptedonlywhenanemployeesattempttohavethePhysician CertificationFormsubmitteddirectlybytheirdoctorhasbeenunsuccessful. Pleasefaxthisformto5616567392byOctober1,2019

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How to fill out wellness rewards employee attestation

01

To fill out the wellness rewards employee attestation, follow these steps:

02

Obtain the wellness rewards employee attestation form from your HR department or wellness program coordinator.

03

Read the instructions on the form carefully to understand the requirements and eligibility criteria.

04

Provide your personal information such as name, employee ID, and contact details.

05

Fill in the attestation section by indicating your understanding and agreement to the terms and conditions of the wellness program.

06

If there are any specific health goals or activities required, ensure to provide the necessary details in the designated section.

07

Sign and date the attestation form.

08

Submit the completed form to your HR department or wellness program coordinator as instructed.

09

Retain a copy of the filled attestation form for your records.

Who needs wellness rewards employee attestation?

01

Any employee who wishes to participate in the wellness rewards program provided by their employer needs to fill out the wellness rewards employee attestation. This includes both new and current employees who meet the eligibility criteria set by the employer.

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What is wellness rewards employee attestation?

Wellness rewards employee attestation is a process where employees confirm their participation in wellness activities to receive rewards or incentives.

Who is required to file wellness rewards employee attestation?

Employees who wish to receive wellness rewards or incentives are required to file the attestation.

How to fill out wellness rewards employee attestation?

Employees can fill out the wellness rewards employee attestation by providing their personal information and confirming their participation in wellness activities.

What is the purpose of wellness rewards employee attestation?

The purpose of wellness rewards employee attestation is to incentivize employees to engage in healthy behaviors and activities.

What information must be reported on wellness rewards employee attestation?

Employees must report their participation in wellness activities along with their personal information such as name and employee ID.

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