p.MsoNormal
{mso-style-parent:"";
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman";
margin-left:0in; margin-right:0in; margin-top:0in}
-->
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.