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Please complete Form and send to Dana Croats, Branch Director
via fax at 7314107163 or email to sales@sscares.com
Call 8887697724 ext. 3003Referral Source:Phone #:Relationship / Agency:Client Info:
Name:DOB:
SS#:Address:APT#:City:State:Zip:Phone:Client
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What is p l e a?
PL E A stands for Personal Life Events Assessment.
Who is required to file p l e a?
All employees are required to file a PL E A.
How to fill out p l e a?
PL E A can be filled out online through the company's portal.
What is the purpose of p l e a?
The purpose of PL E A is to assess any significant life events that may impact the employee's work.
What information must be reported on p l e a?
Information such as marriage, birth of child, relocation, etc. must be reported on PL E A.
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