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Appendix 3. EAP Supervisory Referral Form CONFIDENTIAL STATE OF MARYLAND EAP SUPERVISORY REFERRAL FORMPlease print legibly in ink or type. REFERRAL DATE:COMPLETE EMPLOYEE INFORMATION BELOW:EMPLOYEE\'S

How to fill out eap supervisory referral

How to fill out eap supervisory referral form

1. Review the EAP supervisory referral form to familiarize yourself with the sections and information requested.
2. Ensure you have all the necessary information about the employee you are referring to the EAP program.
3. Start by filling out the employee's personal information, such as name, address, contact number, and job title.
4. Provide details about the reason for the referral, including any observed behavioral or performance issues.
5. Include any relevant supporting documentation, such as incident reports or performance evaluations.
6. Indicate the urgency level of the referral, if applicable.
7. If there are any specific EAP services or resources you recommend for the employee, specify them in the appropriate section.
8. Sign and date the form to indicate your referral and consent.
9. Submit the completed EAP supervisory referral form to the designated department or individual responsible for processing EAP referrals.
10. Keep a copy of the referral form for your records.

Who needs eap supervisory referral form?

1. Supervisors or managers who have employees displaying behavioral or performance issues.
2. Employees who require intervention or assistance to address personal or work-related challenges.
3. Organizations that have an Employee Assistance Program in place to support the well-being of their employees.

What is EAP Supervisory Referral - DBM - Maryland.gov Form?

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What is eap supervisory referral form?

EAP supervisory referral form is a document that supervisors use to refer employees to the Employee Assistance Program (EAP) for support with personal or work-related issues.

Who is required to file eap supervisory referral form?

Supervisors are required to file the EAP supervisory referral form when they believe an employee could benefit from EAP services.

How to fill out eap supervisory referral form?

To fill out the EAP supervisory referral form, supervisors need to provide information about the employee's behavior or performance that led to the referral, as well as their own observations and recommendations.

What is the purpose of eap supervisory referral form?

The purpose of the EAP supervisory referral form is to facilitate the identification and support of employees who may be experiencing challenges that could impact their work performance or well-being.

What information must be reported on eap supervisory referral form?

Information that must be reported on the EAP supervisory referral form includes the employee's name, the reason for the referral, any relevant observations, and recommendations for EAP services.