Performance Action Plan Form

PERFORMANCE ACTION PLAN FORM

Date:

Employee Name:

Site/School/Department:

School District:

CHECK ONE

Phase I

o Verbal/Oral Warning

(Manager File Copy Only)

Phase II

o Notice of Written Warning

Phase III

o Notice of Second Written Warning

Phase IV

o Notice of Termination

(Complete Online PAF)

Statement of the problem (violation of rules, policies, standards,

practices or unsatisfactory performance):

Prior Discussion or warning on this subject (oral or written):

Date:

Supervisor who gave warning:

Statement of company policy or master agreement on subject:

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Parent category: Business