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Disciplinary Action Form Template

This document is a warning form for an employee with sections for the employee name, department, a statement of the problem, prior discussions or warnings, company policy, corrective actions, and consequences of failure to improve with spaces for signatures and dates.
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0% found this document useful (0 votes)
75 views1 page

Disciplinary Action Form Template

This document is a warning form for an employee with sections for the employee name, department, a statement of the problem, prior discussions or warnings, company policy, corrective actions, and consequences of failure to improve with spaces for signatures and dates.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

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: ____________

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