For use of this form, see ATP 6-22 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out Part I - Administrative Data. Enter your Rank/Grade, Name (Last, First, MI), Organization, Date of Counseling, and Name and Title of Counselor.
3. In Part II - Background Information, clearly state the Purpose of Counseling. This should include specific reasons such as performance issues or event-oriented counseling.
4. Proceed to Part III - Summary of Counseling. Document Key Points of Discussion and ensure that both you and the individual counseled initial each point to indicate understanding.
5. Complete the Plan of Action section by outlining specific actions the subordinate will take post-counseling. Include timelines for implementation and assessment.
6. Finalize by having both parties sign and date the document in their respective sections. Ensure copies are retained for future reference.

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