Confidential Employee Corrective Action Form
Download a blank fillable Confidential Employee Corrective Action Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Confidential Employee Corrective Action Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Confidential Employee Corrective Action Form
Unsatisfactory Conduct
Unsatisfactory Performance
Employee Name ________________________________________ Date _____________________
Employee Number ____________________________ DOH: ___________ Location ___________
Type of Action Warranted:
Coaching
Counseling
Written
Final
Policy Violation or Performance Issue – Listed below is the policy(s) that was violated, date, and
time or standard of performance that you have not met.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Conduct that was observed and/or substantiated:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Below are areas of your performance/conduct which need to improve to Satisfactory level or better
and suggestions for improvement or immediate action that needs to take place.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
If performance and/or conduct does not improve, further disciplinary action could occur up
to and including termination. ________
employee initials
List all previous warning(s):
Date: ________________ Date: ________________ Date: ________________
Type: ________________ Type: ________________ Type: ________________
Employee Signature ______________________________________
Date
______________
This information has been reviewed with me
Supervisor Signature ______________________________________
Date
______________
Administrator/Mgr Signature___________________________________ Date ______________
HR 200
11/07
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business