Fillable Verbal Correction Written Reprimand Delay of Step Increase (City of Stephenville)

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Verbal Correction Written Reprimand Delay of Step Increase (City of Stephenville)

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File type: PDF

U.S.A. forms for City of Stephenville

BROWSE CITY OF STEPHENVILLE (TX) FORMS

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Employee Name: Date:
Department: Supervisor:
Corrective Level:
□
Verbal Correction
□
Written Reprimand
□
Delay of Step Increase
□
Corrective Probation (End date: )
□
Suspension (Date: )
□
Demotion
□
Termination
Occurrence: (one sentence summary of incident)
□
Performance
□
Conduct
□
Attendance
Prior Notifications:
Level of Discipline Subject
□
Verbal
□
Written
Incident Description and Supporting Details: Include the following information:
Description of Incident, Date of Occurrence, Persons Present as well as Organizational Impact. Attach additional
pages. (if necessary)
Appendix E
Form 17
PERFORMANCE CORRECTION NOTICE
Page 217 of 254
Immediate and sustained improvement is expected.
1. Measurable/Tangible Correction Goals:
Targeted completion date:
2. Training or Special Direction Provided:
3. Interim Performance Evaluation Date(if necessary):
4. In addition, I recognize that you may have certain ideas to improve your performance. I encourage you to
provide your own Personal Correction Plan Input and Suggestions. (Attach additional sheets if needed.)
OUTCOMES and CONSEQUENCES
Positive: If you meet your Correction goals, no further corrective action will be taken regarding this issue.
Negative: (Describe the consequence should the incident occur again) Future policy violations or failure to
perform job duties in an acceptable manner will result in additional corrective action up to and including
termination.
Scheduled Review Date (if applicable):
Employee Signature
Appendix E
Form 17
PERFORMANCE CORRECTION PLAN
Employee Comments and/or Rebuttal (Attach Additional Sheets, if needed)
Page 218 of 254
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signature
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A copy of this document will
be placed in your file.
I understand that the City of Stephenville is an “at-will” employer, meaning that my employment has no
specified term and that the employment relationship may be terminated any time at the will of either party. I
also realize that the City of Stephenville is opting to provide me with corrective action measures, and can
terminate such corrective measures at any time, solely at its own discretion, and that the use of progressive
discipline will not change my at-will employment status.
I have read the Performance Correction Notice and understand it. It has been discussed with me, and I have been
advised to take time to consider it before I sign it. Signing this, I commit to follow the city’s standards of
performance, conduct and attendance.
Employee Signature Date Supervisor’s Signature Date
Witness: (if employee refuses to sign)
Name Date
Appendix E
Form 17
Employee Acknowledgment
Page 219 of 254
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signature
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signature
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Verbal Correction Written Reprimand Delay of Step Increase (City of Stephenville)

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Completed 3 March 2021

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