Memo

To: Employee Name

From : Team Leader Name
Date:
Request : verbal Type of occurance /Written Counseling- type of Insufficient Behaviour
/ Final Written counseling Type of occurance.
Job History
Since your hire date on ( ,,,,,/,,,,,/,,,,,) you have been given all teh training necessary to
perform your job responsibilities at an acceptable level.As a member of (department )
you have been asked to assist the department in servicing our customers in a prompt and
professional manner.
Type of occurance
On ( ,,,,,/,,,,,/,,,,,) you were given an action plan for (specify behavior deficiency ).Since
that time your behaviour (s)have not matched the goals set forth and agreed upon in that
action plan.
(Dictate areas of beahviour deficiency)
Goals/Requirements
In order to avoid further corrective action the following behaviour (s) must be observed :
Behaviour 1
Behaviour 2
Management Assistance
Your behavior is of concern to us and as a result of this verbal counseling , your Team
leader will meet with you on a periodic basis to review and document your performance
and adherence to the above required goals.
Impact of Verbal Counseling
This verbal counseling will be in effect upon administration and will continue for
30days / 60days / 90days ( Depending upon the request verbal-30, written 60, final 90) .you are also informed that tif immediate and sustained improvment is not realized ,
further corrective action may be taken inculding written couseling and /or termination of
employment .

Signatures :

Employee
Date
Team Leader

Date

Manager

Date

Human Resource Manager

Date