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Employee Disciplinary Action Form

This document is an employee disciplinary action form used by JDAN Construction Corporation. It collects information about the employee, including name, department, birthdate, address, and contact details. It documents the type of violation, date and time of occurrence, and location. Space is provided for employer and employee statements on the violation. The form is used to document the warning decision and any previous warnings. Signatures are required from the employee, form preparer, and supervisor to acknowledge the warning.

Uploaded by

John Ram Daan
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
138 views2 pages

Employee Disciplinary Action Form

This document is an employee disciplinary action form used by JDAN Construction Corporation. It collects information about the employee, including name, department, birthdate, address, and contact details. It documents the type of violation, date and time of occurrence, and location. Space is provided for employer and employee statements on the violation. The form is used to document the warning decision and any previous warnings. Signatures are required from the employee, form preparer, and supervisor to acknowledge the warning.

Uploaded by

John Ram Daan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.

JDAN Construction Corporations

“Where We Build Your Dreams”

Employee Disciplinary Action Form Date of Warning:____________

This form must be complied completely within 2 weeks’ time frame after receiving
from the Human Resource Department.

Employer Information

Name: _____________________
Department: ______________________

Employee Termintation Information

Name: ______________________
Department: ______________________
Birthdate: ______________________
Address: ______________________
Contact Number: ______________________
E-mail Address: ______________________
Last Date of Employment:_______________________

Type Of Violation

Attendance Tardiness Others:_____________________


Safety Disobedience ___________________________
Carelessness Work Quality __________________________

Warning

Violation Date: _________________________


Violation Time (a.m. / p.m.) _________________________
Place Violation Occurred: __________________________
Employer Statement

Employee Statement

Warning Decision

Approved By:______________________________________________________________
Name Title Date

List all previous warnings

Previous Warning: Previous Warning:


1st Warning 2nd Warning
Date: ______________ Date:_______________
Verbal:_______________
Written:_______________

I have read this “warning decision”. I understand it and have


received a copy of the same.

___________________________________________________________________
Employee Signature Date

___________________________________________________________________
Signature of Person who prepared Date

___________________________________________________________________
Supervisor Signature Date

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