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2022 St. Johns County Activity Reimbursement Request

The Activity Reimbursement Program allows employees to be rewarded for engaging in pre-approved activities. Benefits-eligible employees with the St. Johns County Board of County Commissioners, St. Johns County Sheriff's Office, St. Johns County Tax Collector or St. Johns County Supervisor of Elections can participate in this offering.

Employees can be reimbursed up to $50.00 each session ($100 annually). Upon approval, reimbursements will be paid via payroll approximately six weeks after each session, and taxes will be assessed. To receive reimbursement, the activity must be purchased and submitted during the program dates listed below.

Session 1: January 1-June 30
Session 2: July 1-December 31

Activities purchased or submitted outside of these dates will be denied. Requests require proof of purchase, including vendor name, activity type or description, date of purchase, and total cost. This program is offered on a first-come, first-served basis as funding allows.

Covered Activities:
  • Running/Walking/Biking or Similar Race Event
  • Gym Memberships
  • Exercise/Fitness Classes 
  • Weight Management with Coaching
  • Active Sport Lessons 
  • Exercise, Nutrition, Mental Wellness Mobile App Subscription
  • Personal Training Memberships
  • Sessions with a Registered Dietitian or Health Coach 
St. Johns County reserves the right to decline incomplete submissions, requests outside of the session dates, verifications without the required information, or submissions that have been falsified. At the discretion of the program champions, this initiative can be discontinued program at any time.

Questions? Please email for assistance.

IMPORTANT: Information shared within this form and uploaded materials to be reviewed and approved will be part of the public record. Sensitive information should be redacted and only show the information needed for reimbursement.
1. Employee Information *This question is required.
A confirmation message will be sent to this address when finalized. This question requires a valid email address.
3. Division of Employment *This question is required.
4. Activity Details *This question is required.
5. Activity Proof of Purchase/Participation *This question is required.REQUIRED TO SHOW: Vendor, Activity, Purchase Date, and Total Cost. Up to FIVE files can be uploaded If needed.
First & Last Name