Form Take - Dental Health Services Portal

Written Warning Of TWC Vinh

This review began on 10/02/2024 and will end on 10/31/2024.

Form name: Written Warning

Subject name: TWC Vinh

Due for authors: 10/31/2024

Due for signer: 10/31/2024

Employee Name

Employee Name

Employee Name

Employee Name

Employee Name

Employee Name

Incidunt illo unde.

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Department

Department

Department

Department

Department

Department

Department

Hire Date

Hire Date

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Hire Date

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Details of Incident

(Specifically what, where, when, and how employee\\\'s performance and behavior was unacceptable)

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(Specifically what, where, when, and how employee\\\'s performance and behavior was unacceptable)

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(Specifically what, where, when, and how employee\\\'s performance and behavior was unacceptable)

Details of Incident

(Specifically what, where, when, and how employee\\\'s performance and behavior was unacceptable)

Details of Incident

(Specifically what, where, when, and how employee\\\'s performance and behavior was unacceptable)

Describe Extenuating Circumstance, if any

Describe Extenuating Circumstance, if any

Describe Extenuating Circumstance, if any

Describe Extenuating Circumstance, if any

Describe Extenuating Circumstance, if any

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Plans of Improvement

Plans of Improvement

Plans of Improvement

Plans of Improvement

Plans of Improvement

Plans of Improvement

Plans of Improvement

Previous Twelve-Month History of Deficiencies (List Dates)

Previous Twelve-Month History of Deficiencies (List Dates)

Previous Twelve-Month History of Deficiencies (List Dates)

Previous Twelve-Month History of Deficiencies (List Dates)

Previous Twelve-Month History of Deficiencies (List Dates)

Previous Twelve-Month History of Deficiencies (List Dates)

Previous Twelve-Month History of Deficiencies (List Dates)

Deficiencies

Deficiencies

Deficiencies

Deficiencies

Disciplinary Action Taken

Disciplinary Action Taken

Disciplinary Action Taken

Disciplinary Action Taken

Disciplinary Action Taken

Disciplinary Action Taken

Disciplinary Action Taken

Disciplinary Action Taken

Disciplinary Action Taken

Disciplinary Action Taken

Disciplinary Action Taken

Disciplinary Action Taken

Disciplinary Action Taken

Further Action

(For example, final written warning)

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Further Action

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Further Action

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Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

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Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

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Further Action

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Further Action

(For example, final written warning)

Further Action

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Further Action

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Further Action

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Further Action

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Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

(For example, final written warning)

Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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Further Action

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(For example, final written warning)

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Employee Comments

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Employee Comments

I have read and understand the nature of this deficiency and understand that if this persists, further disciplinary action, up to and including termination of my employment, may occur. I also understand that the imposition of disciplinary action up to and including termination, is not preconditioned upon receipt of verbal or written notice of unacceptable condition.

I have read and understand the nature of this deficiency and understand that if this persists, further disciplinary action, up to and including termination of my employment, may occur. I also understand that the imposition of disciplinary action up to and including termination, is not preconditioned upon receipt of verbal or written notice of unacceptable condition.

I have read and understand the nature of this deficiency and understand that if this persists, further disciplinary action, up to and including termination of my employment, may occur. I also understand that the imposition of disciplinary action up to and including termination, is not preconditioned upon receipt of verbal or written notice of unacceptable condition.

I have read and understand the nature of this deficiency and understand that if this persists, further disciplinary action, up to and including termination of my employment, may occur. I also understand that the imposition of disciplinary action up to and including termination, is not preconditioned upon receipt of verbal or written notice of unacceptable condition.

I have read and understand the nature of this deficiency and understand that if this persists, further disciplinary action, up to and including termination of my employment, may occur. I also understand that the imposition of disciplinary action up to and including termination, is not preconditioned upon receipt of verbal or written notice of unacceptable condition.

I have read and understand the nature of this deficiency and understand that if this persists, further disciplinary action, up to and including termination of my employment, may occur. I also understand that the imposition of disciplinary action up to and including termination, is not preconditioned upon receipt of verbal or written notice of unacceptable condition.

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Review Signoffs

A - Rob, TWC

Signed off on October 02,2024 14:29 PM

"ok"

Form Authors: 1/1

A - Rob, TWC

Form Signers: 1/1

A - Rob, TWC

This report will be visible to TWC Vinh when all authors/signers are finished.

Review History

submit - Oct 02, 2024 02:28 PM