DISCIPLINARY NOTICE
Employee name_______________________________________________________________
Supervisor name_______________________________________________________________
Documentation of _____ Written warning or _____ Verbal warning
Statement of the problem:______________________________________
_______________________________________________________________________
_______________________________________________________________________
Has the employee received prior warnings on this subject? Yes No
Was the employee's activity in violation of Company policy? Yes No
If yes, describe how: ______________________________________________________
_______________________________________________________________________
Describe the corrective action to be taken by the Company and/or employee: _______________________________________________________________________
_______________________________________________________________________
Consequences of failure to improve performance or correct behavior: _______________________________________________________________________
_______________________________________________________________________
Employee Statement: _____________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Employee Signature: ___________________________________ Date_____________
Supervisor Signature: __________________________________ Date_____________
Warning:
These forms are provided AS IS. They may not be any good. Even if they are good in one jurisdiction, they may not work in another. And the facts of your situation may make these forms inappropriate for you. They are for informational purposes only, and you should consult an attorney before using them.
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