REQUEST A SERVICE/MATERIALS

Internet communication is not checked on evenings, weekends, federal holidays, or states of emergency requiring business closure.

Not all services and materials are available for all plans. Please select the items you’re interested in and an account manager will contact you within 48 hours. You can also call our helpline at 800-968-8143.

Company

Your Name

First NameLast Name

Your Title

Phone Number

Example: (123) 123-4567Format: (000) 000-0000.

Email Address

Benefits Fair

Please provide 6 - 8 weeks’ notice for adequate scheduling and fulfillment. We cannot guarantee our presence on short notice. If we cannot attend, we may send materials you can distribute at the event.

Event Date

Start Time

End Time

Minimum Attendees

Maximum Attendees

Door Prize Requested

Event Coordinator's Contact Name (if different than above)

First NameLast Name

Event Coordinator's Phone Number (if different than above)

Area CodePhone Number

Event Coordinator's Email (if different than above)

example@example.com

Event Address

Street Address

Ex. Suite Number

CityState

ZIP Code

If you have a theme, please describe it.

Can we tag you on social media? We appreciate your consent to post our attendance at your event. (e.g., LinkedIn, Instagram, Facebook, etc.):

Please share your social media handle(s)!

https://linkedin.com/in

Instagram

https://instagram.com

Facebook

https://facebook.com

Workplace Consultations may be included in your contract. Our Risk Management team helps identify and discuss ways to prevent and resolve productivity, disruptions and behavioral concerns. Please check one of these boxes to connect with our Risk team for a free consultation.

Other

Critical Incident Response (CIR): Please call, 800-968-8143 to arrange services or learn more about how we help.

Training and Development: Learn more about lunch-and-learn, workplace and leadership training.

EAP Educational Materials:

Employee Orientation

Please select one.

Manager Orientation

Please select one.

For human resources professionals, benefits managers and related professionals: Please sign up for our live EAP 101 webinar to get an in-depth tour of your EAP benefit.

Digital Copy

Print Quantity

Address to send print materials

Street Address

Street Address Line 2

CityState

ZIP Code

Please verify that you are human

Please be aware that electronic communication via the internet cannot be guaranteed to be completely free from potential breach of privacy and confidentiality. If security is a concern for you, please call us at 800-968-8143.

Type a question