Anonymous

COUNSELING FROM

Record of counseling

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Use this Template

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Information

Document No.
Store number
Conducted on
Prepared by

Employee name
Position
Disciplinary action for:
- INSUBORDINATION
- INTOXICATION
- EXCESSIVE ABSENTEEISM
- EXCESSIVE TARDINESS
- VIOLATION OF EMPLOYER RULES
- LEFT WORKPLACE WITHOUT PERMISSION
- POOR WORK PERFORMANCE
- OTHER
Add media
DETAILS OF PERFORMANCE PROBLEM OR RULES VIOLATION
DISCIPLINARY ACTION TAKEN
SUPERVISOR'S SIGNATURE
EMPLOYEE'S SIGNATURE
Select date

Anonymous

COUNSELING FROM

Record of counseling

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.