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NATURE OF INFRACTION Poor Work Performance Absenteeism Tardiness Substance Use or Abuse Insubordination Abuse of Leave Improper Conduct Misuse of Email or Telephone Safety Violation Property Damage Refusal to Work Overtime Failure to Comply with Company Policy Other Date, Time and Location of Infraction DETAILS: You must comply with the attached Performance Improvement Plan (check if applicable) Supervisor/Manager s Name: Title:
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