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Employee Disciplinary Notice

Complete the form fields below to generate an Employee Disciplinary Notice that you can print and use.

Click here for completed sample. Bolded items are examples of completed fields from this form.

Employee's Name:
Company:
(Please enter name of employer's company)
Department:
(Department, if applicable)
Please choose one: Written Warning     Final Warning
Problem:
(Describe the problem.)
Prior Warnings:
(Indicate when and where prior oral and/or written warnings have taken place.)
Company Policy:
(Cite relevant company policy or polices.)
Corrective Actions:
(Indicate what corrective actions will be taken by the employee and the company.)
Failure to Correct:
(Indicate what will result if employee fails to correct the problem.)
Employee Statement:
(Please enter the employee's statement.)

This is not a substitute for legal advice and it is suggested that an attorney be consulted.