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    Employee Disciplinary Action Form

    Uploaded by

    Andi Yanuar
    This employee disciplinary action form documents a warning given to an employee for a violation of company policy. It records the date, time, location and type of violation, statements from the employer and employee, the warning decision, and any previous warnings received by the employee. The employee signs to acknowledge receiving a copy of the warning.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Employee Disciplinary Action Form

    Uploaded by

    Andi Yanuar
    84 views1 page
    This employee disciplinary action form documents a warning given to an employee for a violation of company policy. It records the date, time, location and type of violation, statements from the employer and employee, the warning decision, and any previous warnings received by the employee. The employee signs to acknowledge receiving a copy of the warning.

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    This employee disciplinary action form documents a warning given to an employee for a violation of company policy. It records the date, time, location and type of violation, statements from the employer and employee, the warning decision, and any previous warnings received by the employee. The employee signs to acknowledge receiving a copy of the warning.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    84 views1 page

    Employee Disciplinary Action Form

    Uploaded by

    Andi Yanuar
    This employee disciplinary action form documents a warning given to an employee for a violation of company policy. It records the date, time, location and type of violation, statements from the employer and employee, the warning decision, and any previous warnings received by the employee. The employee signs to acknowledge receiving a copy of the warning.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    EMPLOYEE DISCIPLINARY ACTION FORM

    Employee:

    Date of Warning:

    Department:

    Supervisor:

    TYPE OF VIOLATION:

    WARNING:

    Attendance

    Carelessness

    Safety

    Tardiness

    Disobedience
    Work Quality

    Other

    Violation Date:
    Violation Time: (a.m. / p.m.)
    Place Violation Occurred:

    EMPLOYER STATEMENT

    EMPLOYEE STATEMENT

    WARNING DECISION

    Approved by:
    Name
    List All Previous Warnings (when warned and by whom):
    Previous Warning:

    Date

    Title

    I have read this "warning decision". I understand it


    and have received a copy of the same.

    1st Warning

    Date
    Verbal

    Employee Signature

    Date

    Signature of person who prepared warning

    Date

    Supervisor's Signature

    Date

    Written
    Previous Warning:

    2nd Warning

    Date
    Verbal
    Written
    Previous Warning:

    3rd Warning

    Date
    Verbal
    Written

    Employee

    COPY DISTRIBUTION
    HR Dept
    Supervisor

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