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IBEX Local 400 Wellness Annual Health PhysicalReimbursement Forename of Person Requesting Reimbursement: Relationship to Local 400 Welfare Fund Employee Participant:Self Spouse: Email Address: Phone
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How to fill out ibew local 400 wellness
How to fill out ibew local 400 wellness
01
Obtain the IBEW Local 400 wellness form from your employer or the designated person responsible for wellness programs.
02
Read the instructions and guidelines provided with the form.
03
Fill in your personal information, such as name, address, contact number, and employee identification number.
04
Provide accurate details about your current medical condition and any existing health issues.
05
Complete the sections related to the wellness program you are participating in, including goals, objectives, and action plans.
06
Sign and date the form to certify that the provided information is true and accurate.
07
Submit the completed wellness form to the designated person or department according to the instructions provided.
Who needs ibew local 400 wellness?
01
Anyone who is a member of IBEW Local 400 and wishes to participate in the wellness program needs to fill out the IBEW Local 400 wellness form.
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What is ibew local 400 wellness?
IBEW Local 400 Wellness program is a health and wellness initiative designed for members of the International Brotherhood of Electrical Workers Local 400.
Who is required to file ibew local 400 wellness?
All members of IBEW Local 400 are required to file the wellness program.
How to fill out ibew local 400 wellness?
To fill out IBEW Local 400 Wellness, members must complete the provided forms with their personal health information.
What is the purpose of ibew local 400 wellness?
The purpose of IBEW Local 400 Wellness is to promote the health and well-being of union members.
What information must be reported on ibew local 400 wellness?
Members must report their medical history, current health conditions, and any lifestyle habits that may affect their well-being.
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