CITY OF ATLANTA

PERFORMANCE IMPROVEMENT PLAN	Last Name	First Name	Initial
People Soft ID#	Job Class Title
Department	Bureau
CRITICAL JOB ELEMENTS/ PERFORMANCE INDICATORS
Area(s) Needing Improvement:
STEPS TO BE TAKEN
Employee Responsibilities:
Rater Responsibilities:
Improvement is Required by:	(Date – Up to 180 Days)
I have received a copy of my Performance Improvement Plan and understand that failure to achieve an Effective performance rating by the target date on the plan may result in personnel action.
Employee Signature
Date
Rater Signature
Date
Department Evaluation Reviewer
Date
PERFORMANCE IMPROVEMENT PLAN RESULTS
Results:
Performance Improvement Plan Completion Date:
ASSESSMENT OF PROGRESS
Did employee achieve an Effective rating?	Yes	No
Follow-up Actions:
Employee Signature
Date
Rater Signature
Date
Department Evaluation Reviewer
Date

Form DHR 005	Revised 06//07/04

CITY OF ATLANTA

LMahone

2006-07-19

Atlanta Police Department