Texas Woman's University
Office of Human Resources
EXAMPLE LETTER
(Use Department Letter Head)
Date:
Name of Employee:
Position Title:
Department:
RE: LETTER OF CORRECTIVE ACTION
The intent of this notice is to inform you that your performance has not been satisfactory for the reasons indicated below and to provide you with an opportunity to correct this situation. If this situation is not corrected, you will be subject to further disciplinary action.
1. Previous dates of informal counseling and/or other counseling sessions:
2. Specific examples of the problems leading to this disciplinary action:
3. Specific action(s) that you need to take in order to improve:
4. The time frame for improvement to be accomplished:
You are expected to achieve and to continue to maintain an acceptable level of performance for the duration of employment. Failure to do so will lead to further disciplinary action and may include employment dismissal.
You may respond to this counseling in writing and that response will be placed in your personnel file.
Signing this form does not indicate agreement, but only signifies you have been informed of the above action and have received a copy of the discipline notice.
___________________________ _________________________
Signature of Employee Date Signature of Supervisor Date
Distribution: Employee
Supervisor
Human Resources