STATEMENT OF CORRECTIVE ACTION Dallas county juvenile department
Instructions: This form must be completed whenever a Level Three-Six action is taken either for repeated failure to correct a conduct or performance issue, or for serious or significant misconduct or policy violation. Submit to your Manager/Superintendent for review, who will review with the Deputy and Human Resources. After approval from Deputy/HR, meet with employee to discuss SOCA. Refer to Juvenile Department Administration Policy and Administration Manual policies 11 and 12. Forward signed original to Dallas County Human Resources/Civil Service, retain a copy in employee’s department file and forward a copy to department head/Superintendent.
Employee:	Click here to enter text.	SOCA Date:	Click here to enter text.
Date Employed	Click here to enter text.	Supervisor:	Click here to enter text.
Job Title/Position #:	Click here to enter text.	Department/Institution:	Click here to enter text.
Date in Position:	Click here to enter text.	Superintendent	Click here to enter text.
Reason for Corrective Action: Provide specific and comprehensive details about performance problem, attendance problem, or rule/policy violation. Include dates, times, locations, persons involved. Include specific changes required, action plans to achieve desired results, deadlines, and/or employee responses, if applicable. Attach additional pages, documents necessary to support this action, and a Performance Improvement Plan (PIP), if applicable.
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Witness Statement/Response by Employee:
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Your actions described above violate the following policies and procedures: Dallas County Juvenile Department Administration Policy and Procedures. Your actions violate the following policies and procedures:
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Previous Corrective Action(s): Actions taken, dates, reasons for actions:
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Disciplinary Action Taken: Determined by a number of factors such as severity of act and prior history of employee:
First Written Warning	Subsequent Warning	Final warning	PIP
Demotion	Dismissal	LWOP on Click here to enter a date.	SuspensionClick here to enter text.days starting Click here to enter a date.
Future Consequences: Failure to correct the performance/conduct problem described above may lead to further disciplinary action, up to and including dismissal. Additionally, the organization expects you to maintain an acceptable level of performance in every other aspect of your job.
Employee signature: I have read and understand this corrective action. My signature does not necessarily imply agreement with its contents.
Signature:	Date:
Right to Appeal: You are eligible to appeal this action under DCJD policy 12.01. Per policy 12.03, a written appeal must be submitted within seven calendar days of receipt of this SOCA, exclusive of holidays, to ______ with a copy to Juvenile Human Resources.
Supervisor signature: On this date, I discussed this SOCA with this employee.
Signature	Date
Employee refused to sign this SOCA	Employee refused to accept his/her copy.
Witness signature (Optional):