Disciplinary Notice - Free Legal Form

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DISCIPLINARY NOTICE

Employee Name: ______________________________________________________

First Middle Last

Department: ______________________________________________________

_____ 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: __________________________________ Date: ____________

Management Approval: __________________________________ Date: ____________

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

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