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Friends and Family List

Please refer to the Employee Handbook (Sec 8., B.) for detailed policies regarding discounting, eligibility and guidelines.
Employee Name
Role
(1.) Name, Cell Phone, Email and Relationship
(2.) Name, Cell Phone, Email and Relationship
(3.) Name, Cell Phone, Email and Relationship
(4.) Name, Cell Phone, Email and Relationship
(5.) Name, Cell Phone, Email and Relationship
By submitting this form I confirm that the above information is accurate and that I understand:
- Change requests are accepted only during the designated update windows (week of April 1 and week of October 1), except for initial lists submitted at hire.
- Approved changes will be applied upon manager approval and entry into the client profile.
- This submitted list will replace any previous Friends & Family list; previously approved individuals not listed here will be removed from eligibility.
Acknowledgment and Attestation

I acknowledge that I have received, read, and understand the Friends & Family Policy, including documentation, update windows, and compliance requirements. I agree to comply with the policy and understand that failure to do so may result in denial of discounts or disciplinary action.

By signing my name below, I attest that I have read and agree to the Friends & Family Policy.
Signature
Should be Empty:

Friends and Family List