City of Yakima Health Screening Attestation

Read the Rules

After completing the incentive requirements submit the attestation e-card below

Dates will be checked and your submission will be used to validate timely completion. Missing or false validation will be disqualified.

City of Yakima Health Screening E-Card

Name
I understand that by checking the boxes below I am attesting to completion
Registered for miBenefits
Date completed
Date completed
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.

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