Write Up Form

HPH Disciplinary Action Form

To (Employee Name)

Department

Disciplinary Action
Initial CounselingOral WarningWritten WarningWritten Warning & SuspensionFinal Written WarningDischarge

Your performance has been found unsatisfactory for the reason(s) set forth below. Your failure to improve or avoid a recurrence will be cause for further disciplinary action in accordance with the High Performance Homes Discipline Policy.

Details

Agreed-upon improvement plan:

A copy of this warning was personally delivered to the above employee by:

Supervisor:

Date:

I have received and read this warning notice. I have been informed that a copy of this notice will be placed in my personnel file in Human Resources.

Employee:

Date:

4200 SE Columbia Way, Suite C Vancouver WA 98661 Office: 888 892 7939 Fax: 503 296 2572 CCB# 196673 WA HIGHPPH876DN Email: info@highperformancehomesinc.com