EMPLOYEE CORRECTION FORM

“Peak performers concentrate on solving problems rather than placing blame for them.”

The purpose of this form is to make sure inappropriate conduct does not get repeated. Towards that end, we seek positive suggestions for improvement and the taking of personal responsibility.

1. Summarize the circumstances which resulted in the warning notice:

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2. I will do the following to make sure the conduct warned about does not get repeated:

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3. I request the following support or resources to help prevent this conduct from being repeated:

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4. I have the following additional suggestions to help correct this conduct:

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5. I would expect the company to do the following if this conduct does not improve:

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Today’s Date: ______________________                         Date of Warning Letter:___________________

Employee Name: ___________________                         Employee’s Signature: ____________________