Contract Termination Notice
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Jireh Counseling and Consulting Service NOTICE OF CONTRACT STATUS CHANGE FOR CAUSE
Contractor Information Date: Contractor Name: Position Title:
FIS
Department
IFI
Nefertiti Amen-Ra
6/5/2008
Reports to Job Title:
Byron Kellum IFI TL
Type of Warning First Written Warning—a verbal warning was issued prior to the current
First Warning
offense
Second Warning
Final Warning
Probation
Suspension
Status Period
Days
Termination
Reason ✘
Tardiness/Leaving Early
✘
Substandard Work
✘
Absenteeism
✘
Violation of Company Policies
Violation of Safety Rules
✘
Rudeness to Customers/Coworkers
Other:
Details Description of Infraction:
Plan for Improvement:
Consequences of Further Infractions:
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 contratcor understands warning but refuses to sign)
Date
JCCS HR/CM Forms
Noitice of Contract Status Change for Cause
Contractor Information Date: Contractor Name: Position Title:
FIS
Department
IFI
Nefertiti Amen-Ra
6/5/2008
Reports to Job Title:
Byron Kellum IFI TL
Type of Warning First Written Warning—a verbal warning was issued prior to the current
First Warning
offense
Second Warning
Final Warning
Probation
Suspension
Status Period
Days
Termination
Reason ✘
Tardiness/Leaving Early
✘
Substandard Work
✘
Absenteeism
✘
Violation of Company Policies
Violation of Safety Rules
✘
Rudeness to Customers/Coworkers
Other:
Details Description of Infraction:
Plan for Improvement:
Consequences of Further Infractions:
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 contratcor understands warning but refuses to sign)
Date
JCCS HR/CM Forms
Noitice of Contract Status Change for Cause
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