Last Chance Memorandum Of Agreement Sample printable pdf download

SAMPLE

LAST CHANCE

MEMORANDUM OF AGREEMENT

1. This is a binding Agreement between the (State)(Agency) and [EMPLOYEES NAME

HERE] (Employee), a federal technician employed by the Agency as an Aircraft

Mechanic, WG-10, with duty at the [SPECIFIC WORK CENTER]. This Agreement

arises under the following authority:

a. A signed original decision dated 26 August 2009, issued under the legal

authority of Technician Personnel Regulation (TPR) 752, removing

[EMPLOYEE NAME HERE] from his federal technician position.

b. Technician Personnel Regulation (TPR) 752, Appendix A-5, 1: Attendance

Related Issues. 1a – unexcused tardiness, 1b Failure to follow established

leave procedures, and 1C Absent without leave (AWOL). [ENTER SPECIFIC

CHARGES HERE]

2. Purpose. This agreement offers the Employee with a “reasonable accommodation”

that will allow him to participate in an approved rehabilitation program to treat his

personal issues that are contributing to his continuous attendance and conduct related

issues. [SPECIFIC TO THE TECHNICIAN]

Agreement. [EMPLOYEE NAME HERE], as the Employee, understands that this

Agreement represents a conditional delay to the removal action. If the Employee

satisfactorily completes his responsibilities and duties under this Agreement, the

IDARNG will terminate and fully revoke the removal action. If the Employee fails to

comply with all of the terms and conditions of this Agreement, management may remove

him from his federal employment under the authority of the original decision letter.

Further, this Agreement does not render the Employee immune from additional adverse

action which may arise for inappropriate behavior or misconduct that occurs subsequent

to the signing of this Agreement.

3. Terms, Conditions, Responsibilities and Duties:

a. [EMPLOYEE NAME HERE], as the Employee, understands and agrees to

comply with the following terms, conditions, responsibilities and duties:

(i) The Employee must give strict adherence to all terms and conditions

contained herein. Violation of any term or responsibility will result in

immediate removal from federal employment under the original decision

letter, above.

(ii) The Agency’s Director of Psychological health, [EAP

REPRESENTATIVE /DIRECTOR OF PSYCHOLOGICAL HEALTH] will

be asked to conduct an initial evaluation of the Employee and refer him to an

appropriate rehabilitation program. If the Employee is already being treated at

Last Chance Memorandum Of Agreement Sample