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New York State Smokers' Quit line 1-866-NY-QUITS (1-866-697-8487) Patient stamp, label, OR info (name, record number, DOB, date): Referral Form Step-by-Step: Refer-to-Quit Fax form to: 1-866-QUIT-FAX
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How to fill out refer-to-quit referral form 2-11doc?

01
Begin by obtaining a copy of the refer-to-quit referral form 2-11doc. This form can usually be obtained from a supervisor, human resources department, or any other designated authority within your organization.
02
Carefully read and understand the instructions provided on the refer-to-quit referral form 2-11doc. Make sure you are familiar with the purpose and requirements of the form before proceeding.
03
Fill in your personal information accurately and completely. This may include your full name, employee ID or number, department or unit, and contact details. Any mistake in providing this information may delay the processing of your referral.
04
Specify the reason for your referral. In the designated section, clearly state the reason why you are referring someone to quit their current position. Provide sufficient details and supporting evidence if required. It is important to remain objective and professional while explaining the reasons for the referral.
05
Include the details of the individual being referred. Provide their full name, position or job title, and any other relevant information that will help identify the person accurately. You may need to attach any supporting documents or evidence if available.
06
Sign and date the form to validate your referral. Make sure to review the completed form for any errors or omissions before signing.

Who needs refer-to-quit referral form 2-11doc?

01
The refer-to-quit referral form 2-11doc is typically required by employees who wish to refer another employee to quit their current position within the organization. It is often used as a formal process to address concerns or issues regarding an employee's performance, behavior, or suitability for the job.
02
Supervisors or managers who have observed or received complaints about an employee's conduct or performance may also need to initiate the refer-to-quit referral process by completing the form. This ensures that the concerns are properly documented and addressed in a formal manner.
03
Human resources departments or designated authorities within the organization may require the refer-to-quit referral form 2-11doc to be completed by employees or supervisors as part of the internal procedures for handling employee issues and resolving conflicts.
Overall, anyone involved in the refer-to-quit referral process, whether as the referent or the one being referred, may need to complete the refer-to-quit referral form 2-11doc to ensure a clear and formal communication of concerns within the organization.
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The refer-to-quit referral form 2-11doc is a document used to report a referral to quit a particular program or service.
Any person or entity who wants to refer someone to quit a specific program or service is required to file the refer-to-quit referral form 2-11doc.
To fill out the refer-to-quit referral form 2-11doc, you need to provide information about the person or entity you are referring, the program or service they are being referred to quit, and any additional details or reasons for the referral.
The purpose of the refer-to-quit referral form 2-11doc is to document and formalize the referral process for individuals or entities who want to refer someone to quit a specific program or service.
The refer-to-quit referral form 2-11doc typically asks for the following information: the name and contact information of the person or entity making the referral, the name and contact information of the person or entity being referred, the program or service they are being referred to quit, and any additional details or reasons for the referral.
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