Disciplinary Action Form

EMPLOYMENT VIOLATION NOTICE
Employee Email*
example@example.com
CRAFT
SUPERVISOR*
FOREMAN
This notice has been issued to the above-named employee to document the violation of an established work rule, safety standard, and/or labor agreement requirement. Further violation(s) of established work rules, safety standards, and/or labor agreement requirement will result in progressive disciplinary action including termination.
REASON FOR DISCIPLINARY ACTION:*

REFUSAL TO FOLLOW INSTRUCTIONSJOB PERFORMANCE/PRODUCTIONJOB QUALITYPHYSICAL, SEXUAL, VERBAL HARASSMENTPROPERTY THEFT, DESCRUTION, VANDALISMSAFETY VIOLATIONINSUBORDINATIONFIGHTINGTHEFT OF TIMEATTENDANCEOTHER (EXPLAIN BELOW)
DESCRIPTION OF THE OFFENSE*
TYPE OF DISCIPLINARY ACTION:*

MINOR VIOLATION: WRITTEN WARNING, COACHINGINTERMEDIATE VIOLATION: SUSPENSTIONMAJOR VIOLATION: TERMINATION
SUSPENSTION, NUMBER OF DAYS:
NEXT STEP OF DISCIPLINARY ACTION*
EMPLOYEE SIGNATURE*

Clear
DATE*

MonthDayYear
Date
SUPERVISOR SIGNATURE*

Clear
Supervisor's email*
example@example.com
DATE*

MonthDayYear
Date
EMPLOYEE NAME*
Should be Empty: