• Observe and document work performance problems. Call Human Resources to ensure you are following your employer’s policy
• Call Wayne Corporation to discuss the situation with your EAP counselor. The EAP counselor will:
  • Review the performance problems and your expectations and improvement
  • Discuss previous interventions, disciplinary or otherwise
  • Determine if a formal referral is appropriate
  • Assist the supervisor in developing a plan of action
• Meet with the employee to discuss the supervisory referral and review the following:
  • The job performance problem
  • Expectations for improvement
  • Consequences if job performance does not show improvement
  • Referral to the EAP is voluntary and not a disciplinary measure
  • Confidentiality with EAP participation
• Employee meets with the EAP counselor and is asked to sign a Release of Information allowing the counselor to inform the supervisor of the employee’s attendance and compliance with EAP recommendations
• Return call from the EAP counselor to advise the supervisor of employees’ attendance and compliance with recommendations
• Continue to focus on work performance problems of employee

Supervisor Referral Form

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