In order to qualify for the tobacco-free wellness incentive credit you will need to complete the tobacco affidavit form below.

If your tobacco status changes at any time, you must notify Human Resources in writing as soon as possible so that the change in your tobacco status can be recorded and your tobacco free incentive is stopped.  If you earned other wellness incentive credits, those will remain in effect and you will continue to receive them.

Tobacco Cessation Resource: Contact your state's tobacco quit line.  This free resource gives you access to trained tobacco cessation specialist who formerly used tobacco: (800) QUIT-NOW (784-8669)

The program has ended!