Employee Assistance Program Complaint Escalation Form

When employees encounter issues with their Employee Assistance Program (EAP)—whether it's counselor quality concerns, confidentiality breaches, access difficulties, or contract performance problems—having a clear escalation path is essential. This Employee Assistance Program Complaint Escalation Form gives HR teams and employees a structured way to document and address serious concerns that impact the effectiveness and trustworthiness of mental health and wellness support.

Built with Paperform, this template helps organizations maintain accountability with their EAP providers while protecting employee privacy and wellbeing. The form captures detailed information about the nature of complaints—from unprofessional counselor behavior and inadequate treatment to breaches of confidentiality and systemic access barriers—ensuring management has the context needed to investigate and take corrective action.

Perfect for HR managers, employee relations teams, and compliance officers, this escalation form uses conditional logic to gather relevant details based on complaint type, while maintaining appropriate discretion around sensitive information. Whether you're dealing with a single incident or identifying patterns that suggest broader contract performance issues, this form provides the documentation foundation for vendor accountability conversations and service improvement initiatives.

With Paperform's doc-style editor, you can customize the form to reflect your organization's escalation protocols, add your company branding, and adjust the language to match your workplace culture. Integrate with Stepper to automatically route escalations to the right stakeholders, trigger investigation workflows, and keep leadership informed of resolution progress without manual handoffs.

For organizations that need secure documentation and follow-up, pair this form with Papersign to collect electronic signatures on resolution agreements, corrective action plans, or updated EAP service agreements. Connect to your HRIS, case management system, or Slack to ensure complaints are logged, tracked, and resolved with the care and urgency they deserve.

This template helps organizations honor their commitment to employee wellbeing by ensuring EAP concerns are heard, investigated, and addressed—building trust in the programs designed to support your team during their most challenging moments.