Do not include receipts, statements, or other documentation with this form. Your Aflac policy provides one Wellness Benefit per covered person, per calendar year, and this form is designed. specifically for this benefit. To receive your Wellness Benefit, complete the form by following the instructions.
Note: Clean after use, Sanitize before use. After the bottles have been cleaned with a brush, soak them in sanitizing solution or use the dishwasher with the heat cycle on to sanitize them. If you use bleach solution to sanitize, allow the bottles to drain upside down on a rack, or rinse them with boiled water. Do not rinse them out with tap water unless it has been boiled first. Rinsing with unboiled tap water is a number one cause of spoiled batches.
What to do: 1  Label one bottle âControlâ, label the other two bottles âAâ and âBâ. 2  Pour enough water into each bottle to cover the bottom of the bottle. 3  With the help of an adult, light two matches at once and drop them into the control bottle. 4  With the bottle upright, squeeze the bottle to increase the pressure inside. Have your helper hold the flashlight so that it shines into the bottle. Observe carefully as you very quickly unscrew the cap to suddenly lower the air pressure inside the bottle. You should see a cloud briefly form inside the bottle.