Disciplinary Notice
This is an employee disciplinary notice. The form provided here is simply a sample of what the actual form looks like.
DISCIPLINARY NOTICE
Employee __________________________________________
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: ___________________________________
__________________________________________________________
Signed ___________________________________ (Employee)
Date: ___________________________________
Signed ___________________________________ (Supervisor)
Date: ___________________________________