Employee Corrective Counseling Form at a glance
What it is: Employee Corrective Counseling Form: a guide for the supervisor when documenting issues that need attention under the provisions of the University Progressive Disciplinary Procedures; when completed, a written record of corrective counseling.
Where and when to file: This report will remain in the employee personnel file.
This form is used as a guide for the supervisor when documenting issues that need attention under the provisions of the University Progressive Disciplinary Procedures. When completed, it serves as a written record of corrective counseling conducted with an employee pertaining to violation of one or more University rules.
A filled-in Employee Corrective Counseling Form example: a supervisor records a written counseling
How to fill out Employee Corrective Counseling Form, box by box
Employee name, campus wide ID number, job title and department
Enter the EMPLOYEE NAME, CAMPUS WIDE ID NUMBER, JOB TITLE and DEPARTMENT.
Disciplinary Level
Disciplinary Level: Record of Verbal Counseling, Written Counseling, Suspension for __ Working Days, Final Counseling, With Unpaid Suspension __ Working Days.
Subject
Subject: Policy/Procedure Violation, Performance Issues, Behavior/Conduct Infraction, Absenteeism/Tardiness.
Facts, why a concern, action steps and follow-up date
Write the Description of Facts and Events Leading to the Discussion (include relevant dates).
Write Why a Concern.
Write the Action Steps for Improvement.
Enter the Follow-Up Date.
Previous counseling and consequences of failure to improve
Under Previous Counseling Summary, enter the Level/Date/Subject.
Consequences of Failure to Improve: Further Disciplinary Action, Further Disciplinary Action up to and including Termination, Dismissal Will Be Recommended.
Supervisor signatures
The Immediate Supervisor's Signature, the Immediate Supervisor's Printed Name and the Date each have a line.
The 2nd Level Supervisor's Signature, the 2nd Level Supervisor's Printed Name and the Date each have a line.
The employee's signature and comments
The employee's signature indicates he or she has seen this report and that the contents have been reviewed with him or her. The signature does not necessarily indicate agreement.
The Employee's Signature has a line with a Date.
Under Employee's Comments, attach additional sheets if necessary. Do not write on the back of this form.
More rules for Employee Corrective Counseling Form
A copy of this Corrective Counseling Form is being provided.
Common questions about Employee Corrective Counseling Form
Where do I file it?
This report will remain in the employee personnel file.
Sources
[1] Employee Corrective Counseling Form, The University of Alabama (the Official source link on this page).