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SELLER & ASSOCIATES EAP LLC INTAKE FORM CLIENT CABDRIVER IS LICENSE NUMBERADDRESSINSURANCECITYZIPPOLICY HOLDER IF DIFFERENT From CLIENTEMERGENCY CONTACTED/HOME PHONE #ID NUMBERDOBEAP AUTHORIZATION
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To fill out Zeller & Associates EAP, follow the steps below:
02
Begin by entering your personal information, such as your name, address, and contact details.
03
Provide details about your current employment status, including your job title, department, and supervisor's name.
04
Indicate the reason for seeking the EAP services and describe the specific challenges or issues you are facing.
05
Specify how you would like to receive the EAP services, whether through in-person counseling, telephonic assistance, or online resources.
06
Review and agree to the terms and conditions of the EAP program.
07
Submit the completed form to Zeller & Associates according to the provided instructions.
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Wait for confirmation and further instructions from Zeller & Associates regarding the next steps in accessing the EAP services.

Who needs zeller amp associates eap?

01
Zeller & Associates EAP is beneficial for individuals who:
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- Are experiencing personal issues affecting their well-being and performance at work.
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- Require support for managing stress, depression, anxiety, or other mental health concerns.
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- Need assistance in resolving conflict or improving relationships, both personal and professional.
05
- Are facing challenges related to substance abuse, addiction, or other dependencies.
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- Seek guidance in achieving work-life balance and improving overall quality of life.
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It is available to eligible employees, their dependents, and household members as per the employer's policy.
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Zeller amp associates eap is a program designed to provide employees with support for personal and work-related issues.
Employers who offer the program to their employees are required to file zeller amp associates eap.
You can fill out zeller amp associates eap by providing the necessary information about the program and its usage.
The purpose of zeller amp associates eap is to support employees in dealing with personal and work-related challenges.
Information such as the number of employees using the program, types of issues addressed, and the effectiveness of the program must be reported on zeller amp associates eap.
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