Performance Improvement & 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

Date

Reason for Counseling

Details leading to Counseling:

Actions Required:

Select all that apply

Follow Up Date:

Date

Name

First NameLast Name

Supervisor Signature

Supervisor Email

example@example.com

I acknowledge receipt of this Performance Counseling. My signature confirms only that I have received and reviewed this document, not necessarily that I agree with its contents. I understand that refusal to sign does not prevent this counseling from being documented and maintained in my employee file.

Name

First NameLast Name

Employee Signature