Get University Of Pennsylvania Proof Of Bonus Actions Form 2019-2025

Completing the University Of Pennsylvania Proof Of Bonus Actions Form is a straightforward process that allows users to document their participation in various health and wellness activities. This guide provides clear, step-by-step instructions for filling out the form online, ensuring a smooth submission process.

Follow the steps to successfully complete the form.

1. Click 'Get Form' button to access the form and open it in your online editor.
2. Begin by entering your personal details in the designated fields. This includes your employee name, Penn ID number, Penn email address, and zip code.
3. Move on to the Preventative Health Bonus Actions section. For each action taken, such as dental screenings or annual exams, input the date of the exam and the name, address, and phone number of the provider.
4. Next, fill out the Wellness Activity Bonus Actions section. Document any family biometric screenings or completed mindfulness courses, alongside their corresponding dates and provider or location information.
5. Proceed to the Physical Activity Bonus Actions section. Indicate your physical activities, providing the date range and a description of each activity. Attach any required documentation based on whether the activity was self-reported or confirmed.
6. Review all sections to ensure accuracy and completeness. Make any necessary adjustments before finalizing your form.
7. Once the form is complete, save your changes. You may download, print, or share the form as needed for submission.

Complete your documentation online today to ensure your participation is recognized!