Cart 0

Formal Manager Referral

Strictly for work-related challenges. FEEDBACK REPORT WILL BE PROVIDED.

Please provide the following information

NAME OF COMPANY

MANAGER DETAILS

First Name

Last Name

Position

E-mail

Phone number

Best time to phone

EMPLOYEE DETAILS

First Name

Last Name

Position

Language preference

Town and Suburb where Employee works

Town and Suburb where Employee lives

EMPLOYEE CONTACT DETAILS

Phone number

Best time to phone

REASON FOR REFERRAL

If the referral forms part of a disciplinary/corrective procedure , please summarise charge sheet details and the expectations. The case manager may request copies of the formal documentation.

For what purpose is the Feedback Report required?

Management of employee at risk

Disciplinary hearing

Other legal matter

COMMENTS

Did you discuss the formal referral with the employee?

Yes

With whom will the Report be shared with?

Did the employee give consent for a Feedback Report to be provided and shared?

Yes

OTHER REQUESTS / COMMENTS

Urgency