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Performance/ Counseling Form
Employee Name:
*
First Name
Last Name
Department/Property
*
Supervisor Information
*
First Name
Last Name
Supervisors Email
*
example@example.com
Date of Discussion
*
-
Month
-
Day
Year
Date
Reason for Counseling
*
Productivity
Efficiency
Teamwork
Attendance
Quality
Communication and Follow up
Conduct/Insubordination
Lack of Urgency
PIP
Other
Details leading to Counseling:
*
Actions Required:
*
Select all that apply
Final Warning
Further 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:
-
Month
-
Day
Year
Date
Follow up Determination:
Supervisor Signature
*
Supervisor Email
*
example@example.com
Employee Signature
Employee Email
example@example.com
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Should be Empty: