Trauma Counseling Inquiry Form

Step 1 of 3

Before submitting your Inquiry Form to determine if you are eligible to receive Trauma Counseling, please verify the following:
• The incident occurred at work, within the past year,
• It’s a covered incident,
• And you’re an active, dues-paying member of PEF.

If you have answered yest to the above questions, please complete the inquiry form below. After an inquiry has been submitted, you will be contacted within 48 hours with a request for additional documentation or to connect you with a counselor. Contact may be delayed if your request was submitted on a Saturday, Sunday, or U.S. observed holiday.

PLEASE NOTE: Like any incident-based insurance coverage, verification that the incident took place will be required, which can come in the form of a police report, a workplace incident, report, or a union report.