Get Pedometer Loan/purchase Form - Clackamas County - Clackamas

Filling out the Pedometer Loan/purchase Form is a straightforward process that allows participants in the Steps to Health Pedometer Program to either borrow or purchase a pedometer. This guide provides clear, step-by-step instructions to ensure all users can complete the form accurately and efficiently.

Follow the steps to properly complete the form for your pedometer loan or purchase.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering your name in the designated field. Ensure that your name is printed clearly.
3. Provide your employee ID in the specified section. This information helps to identify your record within the county's system.
4. Fill in the department or division you work in. Be precise to avoid any confusion.
5. Enter your telephone number. This is important for communication regarding your loan or purchase.
6. Read the section detailing the Wellness Steps to Health Pedometer Program to understand your options.
7. Choose whether you wish to borrow or purchase a pedometer. For purchase, indicate your payment method, selecting from check, cash, or payroll deduction.
8. If opting for payroll deduction, complete the payroll deduction authorization by signing and dating the form.
9. For those borrowing a pedometer, sign and date the agreement section, confirming your commitment to return the device within the specified timeframe.
10. Finalize your form by reviewing all entered information for accuracy. Once confirmed, you can save changes, download, print, or share the completed form.

Complete your Pedometer Loan/purchase Form online today for a healthier you!