SPECIFIC EXPECTATIONS FOR CHANGE/IMPROVEMENT: ANTICIPATED SUPERVISORY ACTION IF EXPECTATIONS ARE NOT MET: RESULTS OF CONFERENCE: Instruction/Director Oral Warning Temporary Relief From Duty Reassignment of Duties Within Unit Supervisor's Signature Date Employee's Comments (May Be Continued on Back) Receipt Acknowledged (Employee) Approval Signature/Date Supervisor (When Required) Employee CC: Personnel File, Supervisor, Employee Adopted: Revised: Revised: __________ ADMINISTRATIVE REGULATION 8026.03-F NOTIFICATION OF DISCIPLINARY ACTION Related to 8026.01-AR NAME: LAST, FIRST, M.I. JOB TITLE SOCIAL SECURITY NUMBER WORK LOCATION CONFERENCE DATE This shall serve as official notification of disciplinary action shown below. This action is the result of performance deficiencies, problems, and/or other concerns cited on this form and discussed in a conference held on date above and summarized for inclusion in the personnel file. Failure to change/improve performance behavior will result in further disciplinary action up to and including possible discharge. DISCIPLINARY ACTION TAKEN: Written Reprimand Probation (90 Work Days)
SPECIFIC EXPECTATIONS FOR CHANGE/IMPROVEMENT: ANTICIPATED SUPERVISORY ACTION IF EXPECTATIONS ARE NOT MET: RESULTS OF CONFERENCE: Instruction/Director Oral Warning Temporary Relief From Duty Reassignment of Duties Within Unit Supervisor's Signature Date Employee's Comments (May Be Continued on Back) Receipt Acknowledged (Employee) Approval Signature/Date Supervisor (When Required) Employee CC: Personnel File, Supervisor, Employee Adopted: Revised: Revised: __________ ADMINISTRATIVE REGULATION 8026.03-F NOTIFICATION OF DISCIPLINARY ACTION Related to 8026.01-AR NAME: LAST, FIRST, M.I. JOB TITLE SOCIAL SECURITY NUMBER WORK LOCATION CONFERENCE DATE This shall serve as official notification of disciplinary action shown below. This action is the result of performance deficiencies, problems, and/or other concerns cited on this form and discussed in a conference held on date above and summarized for inclusion in the personnel file. Failure to change/improve performance behavior will result in further disciplinary action up to and including possible discharge. DISCIPLINARY ACTION TAKEN: Written Reprimand Probation (90 Work Days)
Sample%20Policies%20and%20Procedures%20Manual%207-31-14.docx