RETIREE REBATE APPLICATION - FPL.com 2026

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Retiree Information' section. Enter your last name, first name, middle initial, social security number, phone number, street address, city, state, and zip code.
Indicate whether the refund is for you as a retiree or for your spouse. If it's for your spouse, complete their information in the provided fields.
In the 'Program Information' section, specify the refund amount requested and check one of the options: Weight Watchers, Smoking Cessation, or Health Club/Exercise Class Membership. Ensure to include any required evaluations or contracts.
Obtain necessary signatures from instructors as required for each program type and fill in their contact details.
Finally, sign and date the form yourself or have your spouse sign if applicable. Ensure all receipts are stapled together before mailing to FPL-WELL Fitness Center.

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Versions	Form popularity	Fillable & printable
2007	4.7 Satisfied (63 Votes)

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