[]  Instructions: This form is to be used to draft the formal memo to
the employee documenting the outcome of the Decision Making Leave (final
level) conversation. Edit the memo to accurately reflect the problem,
the history of the problem, your discussions and the employees agreement
to change.

                     Discipline Without Punishment
                      Decision Making Leave Notice

TO:       [Employee]
FROM:     [Supervisor]
DATE:     [x]
SUBJECT:  Decision Making Leave
cc:

You were placed on Decision Making Leave on [x] (Date) for [x] [describe
performance problem].

This issue was discussed with you informally on [x] (Date/s).  You
received an Oral Reminder, the first step of our formal disciplinary
process, on [xx] (Date).  You received a Written Reminder on [x] (Date).
Each time we discussed what was expected of you
and you agreed to correct the problem.  Because this (continued poor
performance/problem/violation) has a major effect on [safety/our
business/your fellow workers], I placed you [directly] on Decision
Making Leave.

To indicate just how serious the situation is, I have placed you into
the final formal level of our discipline procedure, Decision Making
Leave.

I advised you that this was the final step of our discipline procedure
and that you were to make a final decision: either to solve the
immediate problem and commit to maintaining fully acceptable performance
in every area of your job, or to quit.

When you returned from the Decision Making Leave, you told me that you
wanted to
continue your employment and agreed to solve the problem and maintain
fully acceptable performance.

As I advised you during our meeting, you must immediately correct the
situation.  In addition, you must maintain fully acceptable performance
in every area of your job, whether related to this issue or not, since
any further problems that require disciplinary actions will result in
your termination from [Company].


__________________________________
[x] [Supervisor], [x] (Title)

__________________________________
[x] [Employee] (Optional)
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