EAP Quotation Request

Use this form to request a quotation for LifeWorks, Ceridian's Employee Assistance Programme (EAP).

* Required information

Company Details Company Name:*
Partner / Intermediary Name:
Contact Person:*
Email Address:*
Telephone Number: *
No. of Employees: *

Employee Assistance Programme and Work Life Services Telephone counselling and online access:

Yes No

Pay As You Go Face to Face Counselling (session limited):

Yes No

Face to Face Counselling (inclusive as a fixed cost):

Yes No

No. of sessions required:

On-site support from Ceridian staff:

Yes No

Days required:

Management Reports and Information:

Yes No

Report Frequency:

Annual Bi-annual Quarterly Monthly

Legal Support:

Yes No

Child and Elder Care Matching Service:

Yes No

Critical Incident Support:

Yes No

Employee Engagement Services Online Health Risk Assessments

Yes No

Health & Absence Consulting:

Yes No

Absence Management Service:

Yes No

Existing Service Provider? Do you have an existing EAP?

Yes No

Further Information Specific Notes, Guidance or Additional Information:

(Organisational information, target date for proposal, by phone/email etc.)

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