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EAP SUPERVISORY REFERRAL FORM Date of Referral: Name of Employee Company: Department: Supervisors phone: Position: Shift Ext. Pager# Describe how employees job performance has declined: Signature
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How to fill out eap supervisory referral form

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How to fill out an EAP supervisory referral form:

01
Start by providing your personal information such as your name, job title, and contact details. This information is important for identification and follow-up purposes.
02
Indicate the reason for the referral. Specify if the referral is related to an employee's personal issues, performance concerns, or other relevant factors that may require assistance.
03
Include specific details and examples to support your referral. This can include observable behaviors, incidents, or any relevant information that you believe warrants the need for EAP intervention.
04
Consider discussing the referral with the employee before submitting the form. This gives them an opportunity to ask questions, seek clarifications, and understand the purpose and benefits of EAP support.
05
Obtain any necessary signatures or approvals required by your organization's policy or procedure. This may involve obtaining consent from the employee for sharing information and participating in the EAP process.
06
Submit the completed form to the appropriate department or individual responsible for EAP coordination. Make sure to follow any specific submission protocols or deadlines set by your organization.

Who needs an EAP supervisory referral form?

01
Supervisors or managers who have concerns about an employee's well-being, performance, or behavior may need to complete an EAP supervisory referral form.
02
Human resources departments and EAP coordinators may require the form to initiate the process of providing support and assistance to employees.
03
Employees who are experiencing personal challenges, difficulties, or need support in managing work-related issues can benefit from an EAP referral.
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The EAP Supervisory Referral Form is a document used by supervisors to refer employees to the Employee Assistance Program for assistance with personal or work-related issues.
Supervisors are required to file the EAP Supervisory Referral Form when they believe an employee would benefit from the assistance provided by the Employee Assistance Program.
To fill out the EAP Supervisory Referral Form, supervisors should provide details about the employee's behavior or performance concerns, express their desire to help the employee, and request EAP assistance.
The purpose of the EAP Supervisory Referral Form is to facilitate the connection between employees and the Employee Assistance Program, providing them with support and resources to address personal or work-related challenges.
The EAP Supervisory Referral Form should include details about the employee's behavior or performance concerns, reasons for the referral, and any additional information that may be relevant to the employee's situation.
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