Record of Counseling – GuardTexasNet

Employee Name

First Last

Counseling Date

Employee Email

Employee Number

Policy/Procedure Counseling

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Behavior Counseling

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Summary of Violation

Summary of "Corrective Plan of Action"

Reviewer Information

Reviewing Officer Name

First Last

Reviewing Officer Emp. No.

Reviewing Officer Title

Reviewing Officer Email

Branch Office of Reviewing Officer

Employee Signature