FPL | Forms
 

Forms

Use the table below to locate forms that may be helpful to you.

Some of these files require Adobe Acrobat Reader. If you don't already have it, or have problems viewing this file, download the latest version now.

:

Use this form...

To...

Registration (457k PDF)

begin the registration process for the Supervised FPL-WELL Fitness Centers.

Rebate Application (20k PDF)

request a refund for a Fitness Center membership, Weight Watchers or approved smoking cessation program.

Weight Watchers Evaluation

evaluate Weight Watchers after you've taken the course.

Presentation Request from Retiree Chapter Coordinator (17k PDF)

request a meeting presentation by one of the FPL-WELL health professional on one of a variety of health topics.

Screening Request from Retiree Chapter Coordinator (22k PDF)

request a health screening at one of the retiree meetings.