Employee Counseling Review Employee Counseling Review Please complete the form below. Employee Name Date of Incident Position Department Action Taken Verbal Written Suspension Termination Nature of IncidentPlease choose one or more of the following options Unexcused Absence Drinking/Drugs while on duty Personal Appearance/Hygiene Lack of Cooperation/Teamwork Tardiness Threatening or engaging in violence Destruction of company property Leaving without permission Harassment Theft Insubordination Other Facts of Incident(Required)Employee's CommentsTimetable for Improvement Immediate 30 Days Other Consequences of failure to improve Suspension Immediate Termination Other Your signature indicates only that you have read and understand the aboveEmployee Signature Date Supervisor Signature Date Manager's Approval Date CAPTCHA
