REPORT A CONCERN - Approved

First Sun EAP complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. First Sun EAP does not exclude people or treat them differently because of race, color, national origin, age, disability or sex. If you feel your rights have been violated, you can report your concerns. First Sun EAP will not retaliate against you for filing a complaint.

Internet communication is not checked on evenings, weekends, federal holidays, or states of emergency requiring business closure. For immediate assistance, please call 800-968-8143.

Your Name *

Employer

The employer that supplies the employee assistance program benefit

Email Address

Contact Number

How do you prefer to be contacted? *

By phone By email DO NOT contact me

Permission to send Text *

Yes No

Permission to leave voice mail *

Yes No

Please select your concern(s):

I have a question/concern about my provider or services rendered.

I have a question/concern about privacy rights.

I have a question/concern about discrimination.

Alternatively, you may call, FAX, or sent a letter to:

First Sun EAP
2700 Middleburg Drive, Suite 208
Columbia, SC 29204
1-800-968-8143
FAX 803-799-3772

You may file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visit their website.

Please be aware that electronic communication via the internet cannot be guaranteed to be completely free from potential breach of privacy and confidentiality. If security is a concern for you, please call us at: 800-968-8143 or in the Columbia, SC area 803-376-2668.

Please verify that you are human *