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Corrective Action Report

Please fill out and submit for Internal Affairs Review for each item that needs to be addressed.

Employee ID #

Date Filed

What specific (employee related) item needs to be addressed?

How can the supervisor or Internal Affairs measure progress toward this goal?

What the end - game for this goal? How will the supervisor or Internal Affairs measure if the goal was Achieved?

How is this goal relevant to the employees job?

When should this goal be completed by?