Forms Downloads - ACT Company

Employee Assistance Programs and Referral Services

Resources for Employees:

PROVIDER
Registration

We are always looking to add top professionals to our list of authorized providers.

Regulatory and Administrative Forms

Release of Information Form pdf file
Intake Form pdf file
ACT-EAP Feedback Form pdf file
Rehabilitation - Last Chance Form pdf file
Affirmative Action Statement pdf file
Discrimination Policy pdf file
Paycheck Stuffers pdf file

Adobe Acrobat Reader

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Toll-Free: 1-866-774-9971 | Email: info@act-eap.com
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