Get the free eap referral form

THE SCHOOL BOARD OF BROWARD COUNTY, FLORIDA EMPLOYEE ASSISTANCE PROGRAM (EAP) 499 N.W. 70th Avenue, Suite 112 Plantation, FL 33317 TEL: 754-322-9900 FAX: 754-322-9918 EAP REFERRAL FORM PLEASE PRINT

How to fill out eap referral form

How to fill out an EAP referral form:

1. Start by providing your personal information. This may include your full name, date of birth, contact number, address, and email address.
2. Indicate the reason for the referral. Specify whether it is for yourself or someone else. Provide relevant details regarding the individual's situation or any issues they are facing.
3. Include the name and contact information of the person being referred. This could be a colleague, employee, or another individual who may benefit from the Employee Assistance Program (EAP).
4. Provide information about the referring individual, such as your name, job title, and contact details. This is important for the EAP provider to follow up and discuss any additional steps or information that may be required.
5. Specify the type of assistance or support needed. Whether it is related to mental health counseling, addiction recovery, financial wellness, or any other services provided by the EAP, it is essential to provide as much detail as possible.
6. Sign and date the referral form. This indicates your consent and agreement with the information provided. Ensure that all the required fields are filled out before submitting the form.

Who needs an EAP referral form?

1. Employees: An employee in need of assistance for personal or work-related issues can benefit from an EAP referral form. It may be used to access confidential counseling, support services, or additional resources through the EAP.
2. Employers: Employers or HR departments can also utilize an EAP referral form. They may refer employees who need support or guidance, ensuring their well-being and productivity in the workplace.
3. Family members or friends: In some cases, family members or friends may refer someone they care about who is experiencing difficulties. By using an EAP referral form, they can provide necessary information to help their loved one access the services they need.

Remember, the specific requirements for an EAP referral form may vary depending on the organization or EAP provider. It is advisable to consult the relevant guidelines or contact the appropriate department for accurate information on how to fill out the form properly.

For pdfFiller’s FAQs

What is eap referral form?

The EAP referral form is a form used to refer employees to the Employee Assistance Program (EAP) for counseling and support services.

Who is required to file eap referral form?

Supervisors or managers who are concerned about an employee's well-being and believe they could benefit from EAP services are required to file the form.

How to fill out eap referral form?

The form typically requires basic information about the employee, reason for referral, and any additional notes or concerns. It can usually be filled out online or through HR.

What is the purpose of eap referral form?

The purpose of the EAP referral form is to connect employees with the support and resources they need to address personal or work-related challenges.

What information must be reported on eap referral form?

The form may require details such as employee name, department, reason for referral, supervisor's contact information, and any relevant observations or incidents.

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