Get Preventure Michelin

Filling out the Preventure Michelin Fitness Club Reimbursement Form online is a straightforward process that ensures you can claim your eligible reimbursements for health club membership fees. This guide will walk you through each section of the form to make the process as seamless as possible.

Follow the steps to effectively complete the Preventure Michelin form online.

1. Click ‘Get Form’ button to access the Preventure Michelin Fitness Club Reimbursement Form and open it in your preferred editing software.
2. In Section 1, fill out the participant information. Provide your middle initial, last name, first name, date of birth in the format mm/dd/yyyy, and select your gender. Include the last four digits of your Social Security number. If you are the spouse or domestic partner, make sure to place 'S' in the last box.
3. Enter your primary phone number in the designated field.
4. For spouses or domestic partners, enter the name of the Michelin employee you are associated with, including their first and last name and your email address.
5. In Section 2, provide the fitness club information. Enter the club name, street address, city, state, and zip code.
6. Move to Section 3 for reimbursement details. Specify the reimbursement period (6 months or 12 months) and the total fees you paid.
7. Indicate the date of submission in the format mm/dd/yyyy, and ensure to sign the form, affirming that the information provided is true and accurate.
8. Once you have completed the form, save any changes, and prepare to submit. You can either fax the form along with the necessary receipts and attendance log or, if you don’t have access to fax services, mail it to the provided address.

Complete your Preventure Michelin form online today to ensure you receive your reimbursement promptly!