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When completed, it serves as a written record of corrective counseling conducted with an employee pertaining to violation of one or more University rules. EMPLOYEE NAME CAMPUS WIDE ID NUMBER JOB TITLE DEPARTMENT Which form of counseling applies?: Verbal Counseling Suspension for Beginning / Without Pay Written Counseling Working Days and ending / With Pay Final Written Counseling Dismissal Effective Date: / Date and Time of Incident: Issues and Policies Discussed: Facts and Events.

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