Supervisor-Employee Counseling Form printable pdf download

[COMPANY NAME HERE]

SUPERVISOR-EMPLOYEE COUNSELING FORM

O cer Name _________________________

Site Assigned _______________________________

Position ______________________________

Completed By ______________________________

Level of Counseling

Action Recommended**

Verbal Warning

Suspension



Second Verbal Warning

Removal from Site



Termination



Date of Incident ___________________

Description of Incident / Reason for Counseling

_____________________________________________________________________________

Description of Meeting / Conversation

_____________________________________________________________________________

Supervisor Name (Print) ___________________________ Date ___________

Supervisor Signature ___________________________ Date ___________

** Only Management has the authority to terminate an employee. Field Supervisor or Manager only may

remove an employee from the schedule. Site Supervisor may counsel only, verbally or in writing, o cer

assigned to site and may only recommend removal or termination of said employee, but may never do so.

***O ce Use Only***

Operations/Branch Manager _____________________________________ Signature ___________________________ Date ______________

Recommendation: ________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

Reviewed by HR Manager: _____________________________________ Signature ___________________________ Date ________________

Supervisor-Employee Counseling Form