SAMPLE – Attendance Improvement Plan
[Date]
[Name]
[Address]
Via Hand Delivery / Certified Mail No._________
Dear [Mr./Ms. Last Name]:
The purpose of this letter is to emphasize the seriousness of your attendance record (absenteeism) with
the [agency/department name] and to confirm in writing our discussion of [date] concerning your
unacceptable level of attendance. Further, this letter is to establish my expectations, which I have
outlined in a Performance Improvement Plan, to be commenced immediately. I have developed this
corrective measure to assist you in bringing your level of attendance as a [classification] to an
acceptable standard.
Because your absences from work are occurring so frequently, your attendance cannot be relied on and
your services with the [agency/department name] are of greatly reduced value. Attendance at work is
an essential element of your position and the employment relationship.
To illustrate your failure to report for work as scheduled, I have summarized below your sick [and
emergency annual, if appropriate] leave usage for the period [date] through [date ‐ at least 3 months
but no more than 6 months recommended].
Total Hrs.
Avail. Work Hrs.
SL Used
SL as % of
Avail. Work Hrs.
[Available work hours equal total scheduled work hours in the month minus pre‐approved annual
leave, pre‐approved compensatory time off, and holiday leave, overtime work hours, supported sick
leave, approved medical and personal leaves of absence without pay, including Worker’s
Compensation leave of absence, education leave, required military leave, court/jury/hearing leave;
approved organ donation leave; approved disaster service leave; and holidays taken on alternative
days, as provided in the Administrative Rule. Note: unsupported sick leave, unauthorized leave, and
suspensions, if attendance‐related, are included in available work hours.]
From [date] through [date], you have been absent from work without prior authorization on [number]
occasions during this [number] working day period. Of additional importance is the fact that [number]
of the annual leave hours, although paid, were not properly requested in advance according to agency
and West Virginia Division of Personnel attendance and leave rules. I believe this demonstrates your
continued unwillingness to adhere to established rules concerning prior request of leave. Of no less
importance is the fact that [number] of your [number] absences occurred in conjunction with scheduled
days off, weekends, and/or holidays.