Despite the increasing need for employee assistance program (EAP) providers and human resources (HR) departments to demonstrate outcomes resulting from the availability and use of EAP services, few empirical studies have examined the relationship between EAP utilization and objective organizational outcome measures. This study made use of a unique longitudinal archival data set to examine EAP utilization, the problems for which help was sought, and the relationship of EAP utilization to absenteeism over 3 consecutive years among all EAP-eligible (N ϭ 3,448) employees in all locations of a large national Canadian retail store. Patterns of usage were examined by gender and age with a clearly defined EAP utilization statistic. Most frequently, the reasons for help seeking were personal issues, marital/family problems, and (a distant third) work-related issues. Longitudinal hierarchical linear modeling (HLM) was used to examine the differences in yearly absentee hours between EAP users versus non-EAP users. The results showed that EAP users generally had higher rates of absenteeism than nonusers during the year in which EAP was used but (with some exceptions) did not differ from the non-EAP user groups in the year(s) before and after treatment. Implications for consulting psychology are suggested.