LiUNA Local 1059 & Local 1089 Intake Form

Thank you for connecting with Addiction Services. Please note that filling out this intake form will take approximately 10-20 minutes and needs to be completed in full once you start. You are NOT able to save your work half way through. Once this form is completed, you will be directed to a second link to complete a short screener. This second form is a part of the intake process and need to be completed. Once both forms are completed, an EAP intake counsellor will call you within 24 business hours to complete the process and get you connected with services.