Corrective Action/Documentation Form

Form to be signed at house meeting with consequences
agreed and voted on by house members

Plan of Action
Member name: Client first name Client last name
Behavior in question noted by house member/s:

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Consequence/s of non-compliance:
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My plan/s of action to amend in my own words (what is the solution?):
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Member name: Text field
Member signature:Signature
Date: Text field