Get Employee Assistance Program Supervisor Referral Form - Douglascounty-ne

The Employee Assistance Program Supervisor Referral Form is designed to help supervisors assess and refer employees who may benefit from assistance programs. This guide provides a clear, step-by-step approach to filling out the form correctly and efficiently online.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Fill in the date at the top of the form. This helps establish a timeline for the referral.
3. Enter your name in the 'Supervisor Name' field, ensuring that the information provided is accurate.
4. Provide a contact number in the 'Phone' field where you can be reached for follow-up.
5. Input the 'Employee Name' of the individual you are referring for assistance.
6. Evaluate the criteria listed below, marking 'NA' for not applicable options. For applicable questions, check the box next to the relevant number from 1 (Not a Problem) to 7 (Very Serious Problem) and provide comments as necessary to offer context for your evaluation.
7. For each specific criteria such as job performance and employee behavior, provide additional comments or documentation that supports your referral. This feedback is essential for understanding the referral reasons.
8. Compile any further comments about the overall job performance level of the employee as required.
9. Once you have completed all sections of the form, review the information for accuracy and clarity.
10. After ensuring that the form is complete, you can save your changes, download, print, or share the document as necessary.

Complete the Employee Assistance Program Supervisor Referral Form online today.