Contract Status Change Notice
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Jireh Counseling and Consulting Service NOTICE OF CONTRACT STATUS CHANGE FOR CAUSE
Contractor Information 6/5/2008 Nefertiti Amen-Ra
Byron Kellum
FIS
IFI TL
IFI
Type of Warning
Status
Reason ✘
✘
✘
✘ ✘
Details
Acknowledgement of Receipt of Notice By signing this form, you confirm that you understand the information in this notice. You also confirm that you and your contract manager have discussed the notice and a plan for improvement.
Employee Signature
Date
Manager Signature
Date
Witness Signature (if contractor understands warning but refuses to sign)
Date
Contractor Information 6/5/2008 Nefertiti Amen-Ra
Byron Kellum
FIS
IFI TL
IFI
Type of Warning
Status
Reason ✘
✘
✘
✘ ✘
Details
Acknowledgement of Receipt of Notice By signing this form, you confirm that you understand the information in this notice. You also confirm that you and your contract manager have discussed the notice and a plan for improvement.
Employee Signature
Date
Manager Signature
Date
Witness Signature (if contractor understands warning but refuses to sign)
Date
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