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Get Acknowledgement Of A Corrective Action

IF PERFORMANCE DOES NOT IMPROVE the next step will be Termination Re-evaluation meeting scheduled for I have read and understand this corrective action. I understand that if my performance does not improve I may receive further corrective action up to and including termination. Signing this statement does not necessarily mean that I agree it simply indicates acknowledgement that this document was reviewed with me. Corrective Action Level of Corrective Action Employee Name Date Verbal Warning Written Warning Position Title Supervisor Final Warning Check the following reason s Unsatisfactory Performance Tardiness/Absence Failure to Report to Work Other Explain Violation of Policy Reason for Action Describe the specific performance problem incident include dates and times where applicable. Use additional paper if necessary. Describe corrective action the employee MUST take to correct the problem* Be very specific on what steps need to be taken* Include timeframe for improvement. Employee Signature Supervisor Signature A SIGNED COPY OF THIS CORRECTIVE ACTION WILL BE SENT TO HUMAN RESOURCES AND PLACED IN YOUR PERSONNEL FILE*. Corrective Action Level of Corrective Action Employee Name Date Verbal Warning Written Warning Position Title Supervisor Final Warning Check the following reason s Unsatisfactory Performance Tardiness/Absence Failure to Report to Work Other Explain Violation of Policy Reason for Action Describe the specific performance problem incident include dates and times where applicable. Use additional paper if necessary. Describe corrective action the employee MUST take to correct the problem* Be very specific on what steps need to be taken* Include timeframe for improvement.

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  • Termination
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