UWG Employee Assistance Program Request Form

In order to ensure your privacy and the confidentiality of your request, please do not enter any personally identifiable information (such as name, contact information, email, phone number, etc.) in the Request Summary field. The Request Summary should be a brief justification for your request of assistance and will be stored seperately from the Name, Email, and Phone fields above in order to protect your privacy. If you have any questions prior to submitting the form please contact the UWG Ombuds Office.

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