Letter of Disciplinary Notice : Please fill out the following form. Please print your completed form if you would to have a copy for your records.
Employee's Name :
Written Warning / Final Warning :
1. Statement of the problem :
2. Prior discussion or warnings on this subject, whether oral or written :
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 :
Employee Signature :
Management Approval :
Distribution : One copy to Employee, one copy to Supervisor and original to Personnel File.
Forms used in Employment Index
Letter of Disciplinary Notice
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