Andrew Viteri

CORRECTIVE ACTION FORM Team Member Name: Date Issued: Positions: Team: Admin Manager Name: Corrective Action: [ ] Verbal Warning [ ] Written Warning [ ] Suspension of Work [ ] Termination of Contract Description of Issue: [ ] Lack of Availability [ ] Unsatisfactory Job Performance [ ] Conduct [ ] Other: [ ] Policy Violation Factual narrative of unacceptable performance/misconduct: {Describe the facts and circumstance relating to the conduct that gave rise to this Corrective Action. Include all relevant dates, times, persons involved, team/departmental impact, applicable policies, etc.} Corrective Action Required: Based upon ______________ and the severity of the situation, you are being issued a _______________ in accordance with company policies and expectations. You must perform the duties outlined in your job description and contract, including _________________________________________________, and maintain satisfactory or above performance in all areas of your job. In addition, you must also adhere to all company policies and procedures, and maintain satisfactory availability based on your scheduled and promises. {Indicate if any training is necessary or other requirements} [ ] Yes Your performance will be closely evaluated over the next 60 days. Failure to correct this behavior and/or any additional violation of company policies, failure to successfully resolve the corrective action(s) noted above will result in further corrective actions, up to and including contract termination. Team Member’s Comments (if any): By signing below, you acknowledge that you have received this CA Form. Team Member Signature Date Manager Signature {Form to be sent to Executive Management- once signed by both parties.} Date