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Employee Corrective Action Form
Employee Name: ______________________________________________________________Date: ___/___/_____
Job Title: ____________________________________ Supervisor: ________________________________________
Level of Corrective Action:
___ Verbal Warning ___ Written Warning ___ Suspension ___ Termination
Case Facts: ____________________________________________________________________________________
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_____________________________________________________________________________________________
Objective: _____________________________________________________________________________________
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Solutions: _____________________________________________________________________________________
_____________________________________________________________________________________________
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Action Taken: __________________________________________________________________________________
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Notes: ________________________________________________________________________________________
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Employee’s Signature: _________________________________________________________Date: ___/___/_____
Supervisor’s Signature: ________________________________________________________ Date: ___/___/_____
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