Get Fitbit Pedometer Order Form - Ongoing.doc

Filling out the Fitbit Pedometer Order Form - Ongoing.doc is an important step for participants in the Healthy Directions Fitbit Pedometer and Walking Program. This guide provides clear, step-by-step instructions to ensure that all sections of the form are completed accurately and efficiently.

Follow the steps to fill out the form online

1. Click the ‘Get Form’ button to access the order form. This action will allow you to open the document for editing.
2. In the space provided, enter your name along with your employee number and company name. Ensure this information is correct as it will identify your order.
3. Indicate your participation in the Healthy Directions Fitbit Pedometer and Walking Program by checking the appropriate box or writing your acknowledgment in the designated area.
4. Review the statement regarding the step count visibility by the Human Resources Department to understand the implications for the wellness discount.
5. Authorize the Payroll Department to deduct the cost of your pedometer(s) by providing your signature in the required field. Note that a one-time deduction will be taken from your next available payroll cycle.
6. Specify the number of pedometers you wish to order by filling in the blank space with your desired quantity and calculate the total cost.
7. Provide your email address in the designated field. This will be used for any correspondence related to the Fitbit program.
8. Sign and date the form at the bottom to confirm your order and participation.
9. Once you have completed all sections, save your changes. You may then download, print, or share the form as required.

Complete your order form online today and take the next step toward participating in your wellness program.