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CHC Wellness Pay Healthy Merits Smoking Cessation Reimbursement Name: Date Begun: Employee ID #: Date Completed: Department: Extension #: The employee listed above has completed a Smoking Cessation
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What is smoking cessation reimbform?
Smoking cessation reimbform is a form used to request reimbursement for expenses related to smoking cessation programs or aids.
Who is required to file smoking cessation reimbform?
Employees who have participated in smoking cessation programs and incurred eligible expenses are required to file smoking cessation reimbform.
How to fill out smoking cessation reimbform?
To fill out smoking cessation reimbform, simply input your personal information, details of smoking cessation programs attended, and total expenses incurred.
What is the purpose of smoking cessation reimbform?
The purpose of smoking cessation reimbform is to claim reimbursement for expenses incurred in participating in smoking cessation programs.
What information must be reported on smoking cessation reimbform?
The information that must be reported on smoking cessation reimbform includes personal details, smoking cessation program details, and expenses incurred.
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