Application to join
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Contact Instep 04 382 8071
(email address is required)
Does your organisation have an EAP?
If Yes, are you interested in comparing your existing service with a proposal from Instep?
If Yes, are there any aspects of EAP service delivery that interest you more than others?
Additional Services (Education, training etc)
Performance based reporting
Critical incident response
If No, are you interested in a proposal from Instep?
Is your organisation an ACC Partnership Programme member?
If No, are you interested in ACC's Work Safety Management Practices Programme that may attract up to a 20% rebate on your ACC premium?
B. Workplace Issues
Indicate whether any of these issues are of concern to your organisation:
Excessive sick leave
Alcohol and/or drug abuse
Family members at same address to be covered?
Employees require EAP cover outside New Zealand?
If yes, how many employees?
Any other stressors. e.g. anger, depression, budgeting etc. List them here:
Critical incidents included in EAP cover?
Prepared to pay for counselling for employees?
If yes, a maximum number of sessions
per employee per issue?
The information gathered in this checklist will be treated in strict confidence and not disclosed to any third party without express permission of the client organisation.
PO Box 19240
Ph.: 04 382 8071
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