|
Employee
name: --------------------------------------------------------------------------------
Date:
---------------------------------
Position:
---------------------------------------------------------------------------
Department: -------------------------------------------------
----------- First warning ---------- Second warning --------- Third warning
Description of
problem requiring improvement or change (include dates & situations):
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
List specific changes
in performance or behavior required and the time frame in which they are
expected to occur:
---------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
Date of reevaluation
of problem and correction: ----------------------------------------------------------------------------------
Failure of employee
to correct problem may result in further disciplinary action up to and
including termination of employment.
Employee comments:
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Employee
signature: ----------------------------------------------------------------------------
Date:
---------------------------------
Document if employee declines to comment or sign and
obtain witness signature.
Manager comments:----------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
Manager signature:
------------------------------------------------------------------------------
Date:
--------------------------------
Next level of supervision
or witness signature: -------------------------------------------------------------------------------------
|
Email this page to a friend | Print this page
