Get Upgrade And Receive Up To $100 Reimbursement On ...

This guide provides clear instructions on how to complete the UPGRADE AND RECEIVE UP TO $100 REIMBURSEMENT ON your fitting fee form online. By following these steps, users can easily obtain their reimbursement after upgrading to new ACUVUE brand contact lenses.

Follow the steps to complete your reimbursement form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. On the form, select who the reimbursement is for by choosing 'Me' or 'My Child.' Depending on your selection, fill in the required first name for yourself or the last name for your child.
3. Enter the date of birth in MM/DD/YY format for yourself or your child. If applicable, provide the parent's date of birth as well.
4. Complete the mailing address section by filling in the state, city, zip code, and the parent's first and last name.
5. Specify the contact lens evaluation/fitting fee amount. Enter the brand you are upgrading to, or if applicable, the brand your child is upgrading to.
6. Continue to complete the optional section where you may agree to allow communication from Johnson & Johnson Vision Care, Inc.
7. Attach the required receipts for the contact lens evaluation/fitting fee and product purchase to your completed reimbursement form.
8. Mail the completed form and receipts to the specified address, ensuring that it is postmarked by the deadline.
9. Finally, ensure you keep a copy of all paperwork for your records.

Start your process now to complete the form online and receive your reimbursement!