ATLANTA POLICE DEPARTMENT

Record of Counseling

Date

Employee
APD ID #

Classification
Date of Employment

Division	Section	Unit	Employee Status
Permanent	Probationary	Other

Counseled Area(s)

Attendance	Reporting	Leadership
Appearance	Reliability	Planning
Punctuality	Job Knowledge	Organizing
Use of Time	Productivity	Directing
Initiative	Work Quality	Follow-up
Judgement	Misuse of Equipment	Flexibility
Cooperation	Office Demeanor	Incomplete
Courtesy	Excessive Absences
Assignment
Other	Accountability	Court Appearance

II.	Specific Details of Reason for Counseling:

III.	Controlling Procedure, Directive, Policy, etc.

IV.	Controlling Rule

V.	Proposed Corrective Action

Signature of Employee ______________________________________ Date _______________

Signature of Counselor ______________________________________ Date _______________

Reviewed By __________________________________________________________________

Form APD 813 revised 7/29/08

ATLANTA POLICE DEPARTMENT

vlivsey

2008-07-31