Corrective Action Form - Human Resources - Eastern Kentucky
Download a blank fillable Corrective Action Form - Human Resources - Eastern Kentucky 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 Corrective Action Form - Human Resources - Eastern Kentucky 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
1
2EKU CORRECTIVE ACTION NOTICE
Employee Name: ___________________________________________________________________________________ Date: ______________________
Position: _______________________________________________________________________________________ Hire Date: ______________________
Statement of Misconduct/Performance including dates: (attach additional paper if more room is needed)
_________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________
Describe circumstances and the negative effects on the department or University: (attach additional paper if more room is needed)
_____________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________
Expectations and Actions to be taken: (State specific performance changes and time period for improvement)
EXPECTED PERFORMANCE CHANGES
TIME PERIOD
Follow-up Date:____________________
Previous Misconduct: (if any, give detailed account of Misconduct/ performance and also whether any action was taken previously)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
Employee Statement of incident: (attach additional paper if more room is needed)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
____________________________________________________________________________________________________________________________________________________________________
DESCRIPTION OF CONDUCT (CLASSIFICATION AND DESCRIPTION)
Classification (Check One)
Action (Check which action applies)
❑
❑
❑
❑
Final Warning
Coaching
Performance Improvement Plan
Gross Misconduct
❑
❑
❑
❑
Administrative Leave
Written Warning
Administrative Leave Canceled
General Misconduct
❑
❑
Termination
(Grounds for immediate dismissal would include Insubordination and
Unsatisfactory Performance
Falsification of employment application but are not limited to these)
❑
Other (If other Action taken, give details and reason(s) why):
__________________________________________________________________
__________________________________________________________________
❑
CANCELLATION OF DISCIPLINARY PROCESS
Employee Acknowledgment:
Supervisor’s Acknowledgment:
This notice has been discussed with me and I have had the opportunity to respond.
________________________________________________
___________________
_______________________________________
Employee’s Signature
Date
Supervisor’s Signature
(Employee’s signature indicates receipt of form and does not necessarily indicate agreement).
Notice to Employees:
Employees are encouraged to discuss performance problems with their immediate supervisor. However, if you feel you have been unfairly treated, you may
promptly follow the grievance procedure described in the Handbook. Contact your Human Resource representative if you have any questions.
Distribution: One Copy: Maintain in Employee’s Personnel File.
One Copy: Keep in Department File.
One Copy: Give to Employee.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business