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EAP REFERRAL FORMEMPLOYEE ASSISTANCE Program (EAP)
CONFIDENTIAL FORMAL REFERRAL FORM
(Referral made by Supervisor/ Labor Relations)
EMPLOYEE DETAILS
1. Name of employee.
2. UT Number.3. Category/Rank4.
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How to fill out eap referral form

How to fill out eap referral form
01
Gather all necessary information such as client's name, contact information, and reason for referral.
02
Start by filling out the client information section, including their personal details like name, address, and phone number.
03
Proceed to the referral details section and provide a concise description of why the client is being referred to EAP.
04
If applicable, include any relevant medical or psychological information that might be useful for the EAP specialist.
05
Sign and date the referral form to validate it.
06
Submit the completed EAP referral form to the appropriate party or department for processing.
Who needs eap referral form?
01
Anyone who requires assistance or support related to emotional, mental, or psychological well-being can benefit from the EAP referral form. This includes employees, students, or individuals seeking professional help or counseling services.
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What is eap referral form?
The eap referral form is a document used to refer employees to an Employee Assistance Program (EAP) for assistance with personal or work-related issues.
Who is required to file eap referral form?
Employers or supervisors may be required to file an eap referral form for employees who may benefit from EAP services.
How to fill out eap referral form?
To fill out an eap referral form, the employer or supervisor should provide information about the employee's situation and reasons for the referral, as well as contact information for the EAP provider.
What is the purpose of eap referral form?
The purpose of the eap referral form is to connect employees with the resources and support they need to address personal or work-related challenges.
What information must be reported on eap referral form?
The eap referral form should include the employee's name, the reason for the referral, any relevant details about the situation, and contact information for the EAP provider.
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