Flu Shot Reimbursement

Kaya HR will reimburse you for a flu shot (up to $50) for yourself, your spouse/domestic partner, and your dependent children. All you need to do is get your flu shot (at any location convenient to you) and complete the form below, including uploading a receipt with all the required information.

 

Flu shots must be given between 9/15/2025 – 11/15/2025 and submission of the form is due no later than 11/20/2025. Contact Michelle (michelle@kayahr.com) with any questions!

Drag & Drop Files, Choose Files to Upload
**Please note that uploaded receipt must clearly show all of this information: Recipient’s Name, flu shot provider (e.g., Safeway), service provided (“flu vaccination” or something similar), service date and amount paid.**