_{Mediterranean Wellness Program}

_{Certificate of Completion}

_{Congratulations cert.first!}

You have completed at least 80% of the Mediterranean Wellness PATH Program and now are eligible to submit THIS DOCUMENT to receive [company incentive reward here].

Submitting your Completion Certificate is easy

Simply enter your Company ID Number in the space provided, sign and date the form and send us your claim.  Your claim will be processed under the Plan’s Nutritional Counseling Benefit.

Member First Name	cert.first
Member Last Name	cert.last
Company ID Number	cert.c1
Program Start Date	Auto populates

Please submit your Completion Certificate through one of the following methods:

· Just send this via email to: [company email address]