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Disciplinary Notice

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Disciplinary Notice

Disciplinary Notice

$0.00


Sample Text: (Formatting does not match the actually Forms)

Disciplinary Notice
Date: ______________________
___ Written Warning ___ Final Warning
1. THE PARTIES INVOLVED ARE:

1.1 THE EMPLOYEE WHO THIS DISCIPLINARY ACTION IS FILED AGAINST:

Full Name:
________________________________________________________________________

Department _________________________________________________________

1.2 THE MANAGER/SUPERVISOR FILING THE NOTICE:

Full Name:
________________________________________________________________________

State the reason in detail, including the date of acts(s) or omissions causing the disciplinary action:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

2. Prior, if any, discussion or warnings on this subject, whether oral or written. (List Dates):
________________________________________________________________________
________________________________________________________________________

3. Company policy on this subject:
________________________________________________________________________
________________________________________________________________________

4. Summary of corrective action to be taken by the company and/or employee:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
5. Consequences of failure to improve performance or correct behavior:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

6. Employee statement:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________


Manager/Supervisor’s Name: ________________________________________________________________________


By _____________________________________________
Signature Date


Employee’s Name: ________________________________________________________________________


By _____________________________________________
Signature Date

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