Performance/ Counseling Form

Performance/ Counseling Form
How to Use This Form

This form can be used as either a Performance Improvement Plan or a Counseling Form.
Please complete all sections in advance, save your work, and review it with the employee during your meeting.

After reviewing, both you and the employee will sign, enter your email addresses to receive a copy, and submit the form. Once submitted, it will be sent to HR for filing in the employee’s record.
Employee Name:*

First NameLast Name
Department/Property*
Supervisor Information*

First NameLast Name
Supervisors Email*
example@example.com
Date of Discussion*

MonthDayYear
Date
Reason for Counseling*

ProductivityEfficiencyTeamworkAttendanceQualityCommunication and Follow upConduct/InsubordinationLack of UrgencyPIPOther
Details leading to Counseling:*
Actions Required:*
Select all that apply

Final WarningFurther infractions may lead to Disciplinary Action.Further infractions may end in Termination.Failure to comply with the Performance Plan may lead to DisciplinaryAction.Failure to comply with the Performance Plan may end in Termination.Further infractions may lead to demotion
Follow Up Date:

MonthDayYear
Date
Name*

First NameLast Name
Supervisor Signature*

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Supervisor Email *
example@example.com
Name*

First NameLast Name
Employee Signature*

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Employee Email*
example@example.com
Should be Empty: