Professional Documents
Culture Documents
Today’s Date:
Situation Statement: Describe the incident, event, or situation; use dates, times, names, and facts. If policy violation,
reference specific policy violation.
Actions to be taken: Examples include items such as appropriate standards, training, time frames, additional assistance
that will be provided, expectations of behavior, consequences for further violations, or failure to perform up to standards,
etc.
Acknowledgement: I have read and understand this notice and have been given the opportunity to make appropriate
remarks. I further understand that improvement must be immediate and sustained. Failure to take immediate corrective
action may result in further corrective action, up to and including termination.