Official Disciplinary Notice


Posted on May 4, 2012 by admin | in Background Check

OFFICIAL DISCIPLINARY NOTICE


Distribution: One copy to Employee, one copy to Employer and original to Personnel File

_________________________
Name		 _________________________
Month / Year

Check One:

  • Written Warning
  • Final Warning

1.) Statement of the problem:

2.) Prior discussion or warnings on this subject, whether oral or written:

3.)Employer policy on this subject:

4.)Summary of corrective action to be taken by the family and/or employee:

5.)Consequences of failure to improve performance or correct behavior:

6.)Employee Statement:

_________________________
Employee		 _________________________
Date
_________________________
Employee		 _________________________
Date

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