Ladder Reimbursement Form

Ladder Reimbursement Form

Only one membership may be reimbursed per benefitted employee.
Name

First NameLast Name
Email
example@example.com
You will be reimbursed $195 on your next paycheck which is approximately the cost of an annual pro-plan plus tax. This is a taxable transaction and will show as income on your W-2. It does not qualify as income for retirement purposes.
Upload Receipt of Payment for Ladder Subscription

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Employee Affidavit for Ladder App Payroll Reimbursement

I affirm that my purchase of the Ladder fitness application is for my personal use to support physical health and overall well-being. I understand that reimbursement is being requested through payroll in accordance with employer guidelines, and I certify that this expense has not been and will not be reimbursed through any other program or benefit. I attest that the information provided is true and accurate to the best of my knowledge.
Signature
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