Employer Forms

Below are links to most of the forms that our employer groups and their managers/supervisors might need. If there is anything further you might need, just give us a call at (808) 597-8222.

Supervisory Referral Form Fillable 2017.pdf

  • This is a fillable pdf version of our Supervisor Referral form

Supervisory Referral Form 2017.pdf

  • Non-fillable Supervisory Referral Form and Instructions

SAP Referral Form 2017.pdf

  • SAP Referral Form -- when you are referring someone who violated a DOT drug/alcohol rule or a non-DOT drug/alcohol policy

Release of Information Form.pdf

  • Authorization for Release of Protected Health Information

EAP-Poster-Order-Form-2017.pdf

  • Use this Order Form to request new Posters for your work sites

EAP Online Coaching Half-Sheet Flyer.pdf

  • A Half-Page Flyer Promoting EAP Coaching

EAP Caregiver Consultation Half-Sheet Flyer.pdf

  • A Half-Page Flyer Promoting EAP Caregiver Support

EAP Online Legal-Financial Half-Sheet Flyer.pdf

  • A Half-Page Flyer Promoting EAP Legal & Financial Consultation

Employer Feedback Form

  • Help us improve by sending us feedback on our services.