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ATTESTATION FOR $250 WELLNESS INCENTIVE PLEASE DO NOT FAX THIS FORM ! THE ORIGINAL DOCUMENT MUST BE SUBMITTED DIRECTLY TO: Sandra Franklin, Human Resources 740 Main Street East Hartford, CT 061082017

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How to fill out attestation for 250 wellness

01

Obtain the attestation form for 250 wellness from the relevant authority or organization.

02

Fill in your personal details such as name, address, contact information, and date of birth.

03

Provide information about the wellness activities or programs you have participated in to earn 250 wellness points.

04

Sign and date the attestation form to certify that the information provided is true and accurate.

05

Submit the completed attestation form to the specified individual or department for verification and approval.

Who needs attestation for 250 wellness?

01

Individuals who are participating in a wellness program that requires them to earn 250 wellness points.

02

Employers who are administering a wellness program and need employees to fill out attestation forms for tracking purposes.

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What is attestation for 250 wellness?

Attestation for 250 wellness is a process where individuals or organizations confirm that they have met certain health and wellness criteria.

Who is required to file attestation for 250 wellness?

Businesses, organizations, or individuals who have 250 or more employees are required to file attestation for 250 wellness.

How to fill out attestation for 250 wellness?

Attestation for 250 wellness can usually be filled out online through a designated portal provided by the regulatory body.

What is the purpose of attestation for 250 wellness?

The purpose of attestation for 250 wellness is to ensure that large businesses are promoting and maintaining health and wellness initiatives for their employees.

What information must be reported on attestation for 250 wellness?

Information such as the wellness programs offered, participation rates, and outcomes of the programs may need to be reported on the attestation for 250 wellness.

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