Disciplinary Action Form

EMPLOYMENT VIOLATION NOTICE
EMPLOYEE NAME
Employee Email
example@example.com
CRAFT
SUPERVISOR
FOREMAN / WITNESS
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:
DESCRIPTION OF THE OFFENSE
TYPE OF DISCIPLINARY ACTION:
SUSPENSTION, NUMBER OF DAYS:
NEXT STEP OF DISCIPLINARY ACTION
EMPLOYEE SIGNATURE
DATE

MonthDayYear
Date
SUPERVISOR SIGNATURE
Supervisor's email
example@example.com
DATE

MonthDayYear
Date
Should be Empty: