Get the free EAP Supervisory Referral Form - Budget and Management - dbm maryland

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State of Maryland Authorization for Examination or Treatment (Patient Must Present Photo ID at Time of Service) Today's Date: Agency: (List Agency or Agency to Receive Invoice)Appointment Date/Time/Location

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How to fill out eap supervisory referral form

01

Start by downloading the EAP supervisory referral form from the official website or obtain a physical copy from your HR department.

02

Read the instructions carefully before filling out the form.

03

Provide your personal information such as your name, employee ID, and department.

04

Indicate the reason for the referral and provide a detailed description of the issue or concern.

05

If applicable, include any supporting documentation or evidence that can help in assessing the situation.

06

Specify the date and time of the referral and any relevant deadlines.

07

Sign and date the form to indicate that the information provided is accurate and complete.

08

Submit the completed form to your supervisor or HR department as per the specified procedure.

Who needs eap supervisory referral form?

01

The EAP supervisory referral form is typically needed by supervisors or managers who have identified an employee in need of assistance or support regarding personal or work-related concerns. It enables them to formally refer the employee to the Employee Assistance Program (EAP) for professional help and guidance.

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