Ver 2.0 CS0808 Template created by Modern Business Associates http://www.mbahro.com 1-888-622-6460 Modern Business Associates provides a one-stop answer to all of your business human resources-related needs
Modern Business Associates
Dept. / Division: ______________________
Employee Discipline Form - Template Confidential Employee Name:____________________________
Warning Date:__________
Social Security Number:__________________________
Violation(s) Attendance Breach of Company Policy Carelessness Conduct Creating a Disturbance Failure to Follow Instructions Insubordination Performance
Personal Work Safety Tardiness Unauthorized Absence Work Quality / Accuracy Work Quantity / Output Willful Damage to Company Property Other
Description of Violation(s): _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Further misconduct or violation(s) will result in disciplinary action, up to and including immediate termination. I have read this Warning Notice and understand it.
Employee’s Signature:
Date:________
Supervisor’s Signature:
Date:________