Community or Facility Name Date ______________________________ ___________________________ Employee’s Printed Name Employee’s Signature ________________________ Supervisor’s Signature This page is to be emailed to the Risk and Safety Manager at . All newly hired employees should complete this within 1 week of their hire date.
Community or Facility Name Date ______________________________ ___________________________ Employee’s Printed Name Employee’s Signature ________________________ Supervisor’s Signature This page is to be emailed to the Risk and Safety Manager at . All newly hired employees should complete this within 1 week of their hire date.
2018_-__eap_template.docx