Get Per-04 Wellness Program.doc - Usbr

This guide provides a clear and supportive approach to filling out the PER-04 Wellness Program document, designed for the Great Plains Region employees. By following the outlined steps, users can effectively navigate the form to enhance their wellness programs.

Follow the steps to complete the PER-04 Wellness Program online.

1. Click the ‘Get Form’ button to obtain the PER-04 Wellness Program document and open it in your editor.
2. Review the introduction section, which explains the purpose of the wellness program and its benefits for employees.
3. In the cost-sharing agreement section, indicate your intention to participate by filling out the necessary details about the program and your estimated costs.
4. In the health screening section, select whether you have provided a physician consent form or are currently participating in fitness activities.
5. Gather necessary signatures: you will need both your signature and your supervisor's signature to validate your participation.
6. Complete the Report of Taxable Fringe Benefit memorandum by entering your details, including your department and social security number.
7. Once all sections are completed, save the document, and follow procedures for submitting it, which may include downloading, printing, or sharing.

Take control of your wellness today by filling out the PER-04 Wellness Program form online.