Contract Termination Notice

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 1

Jireh Counseling and Consulting Service

NOTICE OF CONTRACT STATUS CHANGE FOR CAUSE

Contractor Information
Date: 6/5/2008
Contractor Name: Nefertiti Amen-Ra Reports to Byron Kellum
Position Title: FIS Job Title: IFI TL
Department IFI

Type of Warning
First Written Warning—a verbal warning was issued prior to the current
offense First Warning
Second Warning Final Warning

Status
Probation Suspension Period Days
Termination

Reason
✘ Tardiness/Leaving Early ✘ Absenteeism ✘ Violation of Company Policies
✘ Substandard Work 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

You might also like