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Wellness Activity Reimbursement Form 20222023Iroquois Central School District participants are eligible to be reimbursed for exercise classes/lessons and gym/aquatic center membership fees per plan
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How to fill out wellness activity reimbursement form

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How to fill out wellness activity reimbursement form

01
Obtain a copy of the wellness activity reimbursement form from your employer or HR department.
02
Fill out personal information such as name, employee ID, and contact information.
03
Provide details of the wellness activity you participated in, including date, location, and type of activity.
04
Attach any necessary receipts or proof of payment for the activity.
05
Sign and date the form before submitting it for reimbursement.

Who needs wellness activity reimbursement form?

01
Employees who have participated in a wellness activity and are seeking reimbursement for expenses incurred.
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The wellness activity reimbursement form is a document used by individuals to request reimbursement for expenses related to participating in wellness activities.
Employees who are eligible for wellness program benefits and have incurred expenses related to wellness activities are required to file the wellness activity reimbursement form.
To fill out the wellness activity reimbursement form, individuals must provide details about the wellness activity, expenses incurred, and submit any supporting documentation.
The purpose of the wellness activity reimbursement form is to provide a way for individuals to be reimbursed for expenses related to participating in wellness activities.
The wellness activity reimbursement form must include details such as the name of the activity, date, expenses incurred, and any supporting documentation like receipts.
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