Free Statement - District Court of Arizona - Arizona

EXHIBIT E 1
Case 2:O3—cv-O1369—IVIHI\/I Document 112-6 Filed O9/26/2005 Page1 of 2

s PERFORMANCE DISCUSSION RECORD
Em lo ee Position Date of Hire Social Secu if
Deb Jilka Re • ional Mediator 9-24-2001 338-52-9641
Supervisor Dlv I Department Date
Ruth Leatherman 479-47037 3/19/2003
I have made the following observations regarding this employee's conduct and/or perfonnance: (use auusuonal paper rr
necessary)
• Debra has been tardy 2 times (2/21, 2/24) and left early once (2/4)
. • Debra has taken the equivalent of 7 days of planned (1/2, 1/3,1/8, 1/9, 1/10, 1/28, 2/28)
and 2 days of unplanned Paid Time Off (3/3, 3/4) year to date
This employees conduct has affected the work environment in the following ways: V
• Excessive absences and tardlness add to the workloads of the other people in the
_ ____ _@partment andgmztegatiuelyimpactunoralesw--—»·-—— -———~ ~---··—·· ‘·r·"‘"*
I have informed this employee that the following action(s) is being taken at this time:
First Verbal Waming Second Verbal Waming First Written Waming
X Second Written Waming Final Waming Tennination of Employment
Demotion/Reduction in Pay Suspended Wrthout Pay
A "j " Performance Improvement Plan (if necessary): ,
* I have discussed and/or recommend the following expectations and gcalsi
• Debra needsto focus on improving her attendance. I -
These will be reviewed on 6-19-2003 and/or an ongoing basis for improvement.
I have read and received a copy of the above statement, and agree with the expectations, goals and su gestions for
improvement listed above. I do/do not wish to submit written comments of my own.
Employee Signature __ Date _ I _ > _ _ _ __ _
I have infonned this employee that further action may be taken up to and including (suspension with or without pay
and/or termination of employment) if he/she does not make the agreed upon improvement.
Supervisor Signature .
Manager Signature Date
(Required when employee refuses to sign) · ‘
Case 2:03-cv-01369-MHM Document 112-6 Filed O9/26/2005 Page 2 of 2

Case 2:03-cv-01369-MHM

Document 112-6

Filed 09/26/2005

Page 1 of 2

Case 2:03-cv-01369-MHM

Document 112-6

Filed 09/26/2005

Page 2 of 2