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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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Ask simple, open and non-judgmental questions and let people explain in their own words how their mental health problem manifests, the triggers, how it impacts on their work and what support they need.
For this reason it's vital you have a meaningful conversation with your employee about their needs and really listen to them. Be positive – focus on what employees can do, rather than what they can't. Work together and involve people in finding solutions as much as possible.
The 5Cs are competence, confidence, character, caring, and connection. The anxiety dimensions are Social anxiety, Physical symptoms, Separation anxiety, and Harm avoidance.
It's entirely up to you how much you want to disclose - you don't have to "name" your condition but be careful about words like “stress” which can mean many different things and is often misinterpreted. If you have seen your doctor, and have a diagnosis, then let your employer know you are ill.
When someone shares information about their mental health, it's essential to have a sensitive and supportive conversation with them about their needs. Choose an appropriate place. Avoid making assumptions. Embed confidentiality. Encourage people to talk. Respond flexibly. Develop a wellbeing plan.
Be clear and concise, stating the specifics of how your mental health problems are impacting your work. The point here is to keep it professional and appropriate--your boss is not a therapist or close friend, so you need to stick to what matter's to the workplace.
While I am struggling with my mental health, I want you to know that this is no way impeding my ability to do my job. However, I am afraid that if I don't reach out to inform you about what's going on and ask for your support, I may not be able to continue to work at level that you are used to me working on.
If you want to tell your manager about your mental health problem, it can be hard to know where to start. To make the process easier, you could try the following suggestions: Arrange to talk to your manager privately. This could be during a regular catch-up, or by requesting a one-to-one meeting.
If you find you are not able to work due to a mental health condition, short- or long-term, connect with a social service provider that can address your needs. Having a fulfilling job that you are able to perform can do wonders to improve mental health.