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Disciplinary Notice
DISCIPLINARY NOTICE
TO: [First Name of employee] [Last Name of employee]
[Title of employee]
FROM: [First Name of sender] [Last Name of sender]
[Title of sender]
DATE: [Date of letter]
Employee
Department
[ ] Written Warning [ ] Final Warning
1. Statement of the problem which may include violation of rules, policies, standards, practices, or unsatisfactory performance: [Description of problems].
2. Documentation of prior discussion or warnings on this subject: [oral, written, dates].
3. Statement of company policy on this issue: [Statement of company policy].
4. Summary of corrective action to be taken: [corrective action and dates for improvement and plans for follow-up].
5. Consequences of failure to improve performance or correct behavior: [Consequences of failure to improve] .
6. Employee comments: [Employee comments].
Employee Signature Date
Management Approval Date
Distribution:
One copy to Employee, one copy to Supervisor and original to Personnel File.