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Employee Disciplinary Form

This employee disciplinary form contains information about an employee incident requiring disciplinary action. It includes fields for the employee and incident details, any previous warnings, an investigation summary if conducted, the disciplinary action taken, an action plan for improvement, an employee response section, and acknowledgment signatures from the employee, a witness, and HR. The purpose of the form is to formally document a disciplinary discussion and action taken against an employee.

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Thanh Thuy
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277 views

Employee Disciplinary Form

This employee disciplinary form contains information about an employee incident requiring disciplinary action. It includes fields for the employee and incident details, any previous warnings, an investigation summary if conducted, the disciplinary action taken, an action plan for improvement, an employee response section, and acknowledgment signatures from the employee, a witness, and HR. The purpose of the form is to formally document a disciplinary discussion and action taken against an employee.

Uploaded by

Thanh Thuy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Employee Disciplinary Form

Employee Disciplinary Form

Employee Information

- Employee Name: ______________________________________________


- Employee ID: ________________________________________________
- Department: __________________________________________________
- Date of Incident: _____________________________________________

Description of Incident

*Please provide a detailed description of the incident or behavior that led to the disciplinary
action.*
____________________________________________________________________________
____________________________________________________________________________

Previous Discussions or Warnings


*Indicate whether any previous discussions or warnings were issued to the employee regarding
similar behavior.*

[ ] Yes
[ ] No

*If yes, please provide details of the previous discussions or warnings.*


____________________________________________________________________________
____________________________________________________________________________

Investigation Details (if applicable)


*If an investigation was conducted, summarize the findings.*
____________________________________________________________________________
____________________________________________________________________________

Disciplinary Action
*Select the appropriate disciplinary action taken.*
[ ] Verbal Warning
[ ] Written Warning
[ ] Suspension
[ ] Probation
[ ] Demotion
[ ] Termination

This Employee Disciplinary Form was created be Connecteam - the easiest way
to manage your employees in one place
Action Plan
*Provide a clear action plan for the employee, outlining expectations and areas for
improvement.*
____________________________________________________________________________
____________________________________________________________________________

Employee Response
*Allow the employee to provide their response to the disciplinary action.*
____________________________________________________________________________
____________________________________________________________________________

Acknowledgment
I, the undersigned, acknowledge that I have received and reviewed this Employee Disciplinary
Form. I understand the reasons for the disciplinary action and the action plan set forth.
Employee Signature: ___________________________
Date: _______________

Witness
*The following individual witnessed the discussion and signing of this form.*
Witness Name: _______________________________
Witness Signature: ____________________________
Date: _______________

Human Resources
*HR Representative's Name: ________________________
HR Representative's Signature: ____________________
Date: _______________

This Employee Disciplinary Form was created be Connecteam - the easiest way
to manage your employees in one place

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