Personnel Action Form
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Manager Submitting PAF
*
Location
*
99-Corporate Office
101-Milford
102-Kingston
104-New Hartford
105-Portsmouth
106-Mt Pleasant
Employee Name (not your name - unless you want to submit a PAF about yourself) 👀
*
First Name
Last Name
Nature of infraction
*
Poor Work Performance
Tardiness
Insubordination
Improper Conduct
Safety Violation
Refusal to Work Overtime
Absenteeism
Substance Use or Abuse
Abuse of Leave
Misuse of Email or Telephone
Property Damage
Failure to Comply with Company Policy
Other
Description (if needed)
File Upload (if needed)
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