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Outside Membership Reimbursement

Use this form to request reimbursement for outside gym/health memberships. You will need to provide:

  • Receipt(s) of payment
  • Proof of Attendance (Outside gym minimum 10 days, Weight Watchers minimum 9 sessions)
  • Requests that are missing required documentation will not be processed and the employee will be notified.
Submit Reimbursement documentation