GYM REIMBURSEMENT PAYMENTS
NOTE TO ADMIN. STAFF: Please notify and/or post this notice for any employees in your department that may not have e-mail access – thanks!
It’s time to turn in your receipts for gym fees paid for July 2020 through June 2021. Receipts are due no later than July 7, 2021.
You may submit requests by e-mail to firstname.lastname@example.org or through interoffice mail to HR. Be sure to include the attached Gym Reimbursement Request form.
The City of San Rafael reimburses employees up to $16.50 per month for personal gym memberships, personal recreation league fees or fitness-related rec facility fees. Per the MOUs, this payment will be processed through payroll and is reported as taxable income.
*Please note: Police Department employees are not eligible to participate in this program as they have their own reimbursement plan*
Follow these simple steps to request your reimbursement:
- Fill out the attached GYM REIMBURSEMENT REQUEST form. All memberships must be in the employee’s name or clearly note the employee as an active member.
- Attach all backup documentation showing proof of payment. You may submit bank account or credit card statements or a letter/statement from your gym.
- Make sure that any document you submit clearly states YOUR NAME and the DATES/MONTHS for which you paid.
- Each month should be clearly noted (please highlight, circle, underline, etc.) and marked PAID.
The maximum reimbursement allowable is $16.50/month. Please note that annual memberships dues will be calculated and reimbursed based on a monthly amount (e.g., $100/yr is equal to $8.33/month).
Receipts should be submitted NO LATER than Wednesday, July 7th.