Get the free Health Club Reimbursement Form - co.eau-claire.wi.us
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Health Club Reimbursement Former Claire County Health Promotion Program Name:Date of Birth: Health Club Name: Reimbursement Amount: $100 Single Membership (Maximum for single membership) $200 Family
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What is health club reimbursement form?
Health club reimbursement form is a document that allows individuals to request reimbursement for health club memberships or fitness classes.
Who is required to file health club reimbursement form?
Employees who have a health club reimbursement benefit as part of their employer's wellness program are required to file the form.
How to fill out health club reimbursement form?
To fill out the health club reimbursement form, individuals need to provide their personal information, details of the health club membership, and any other required documentation.
What is the purpose of health club reimbursement form?
The purpose of the health club reimbursement form is to allow individuals to receive reimbursement for expenses related to maintaining a healthy lifestyle through fitness activities.
What information must be reported on health club reimbursement form?
Information such as the name and address of the health club, the amount paid for the membership, and proof of payment must be reported on the form.
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