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Connecticut Disciplinary Notice

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                             This Disciplinary Notice is intended to be used by an employer as a part of its disciplinary
                             program. This notice should be used as a procedure to preserve a record of an employee's
                             non-performance or misbehavior in the workplace. It also offers the employee ways to
                             improve performance or correct behavior. Documentation of employee discipline is
                             important for fairly informing an employee of performance problems and for creating a trail
                             of documentation for potential legal actions. This notice is useful to companies located in
                             Connecticut when dealing with employees with performance or behavioral issues.
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                                                DISCIPLINARY NOTICE
rafted
         Employee Name: ________________________
         Department: ____________________________
         Position: _______________________________
         [Instruction: Insert the description of the employee]

         Date of Incident: _____ [Month] _____ [Date], 20_____.

         [Instruction: Insert the type of warning and mark “X” next to the applicable clause]

                                   ______Written Warning              _____Final Warning

         1. STATEMENT OF THE PROBLEM:
            ___________________________________________________________________________
            ___________________________________________________________________________
            ___________________________________________________________________________

            [Instruction: Insert the type of problem and act of employee, e.g., violation of rules,
            policies, standards, practices or unsatisfactory performance.]

         2. PRIOR      DISCUSSION      OR     WARNINGS       ON     THIS     SUBJECT:
            ___________________________________________________________________________
            ___________________________________________________________________________
            __________________________________________________________________________
   [Instruction: Insert any prior oral or written, discussion or warning on this subject.]

3. STATEMENT        OF    COMPANY        POLICY      ON     THIS    SUBJECT:
   ___________________________________________________________________________
   ___________________________________________________________________________
   _________________________________________________________________________

   [Instruction: Insert company policy on the act of employee.]

4. SUMMARY        OF     CORRECTIVE        ACTION       TO     BE     TAKEN:
   ___________________________________________________________________________
   ___________________________________________________________________________
   _________________________________________________________________________

   [Instruction: Insert summary of corrective action to be taken including dates for
   improvement and plans for follow up.]

5. CONSEQUENCES OF FAILURE TO IMPROVE PERFORMANCE OR CORRECT
   BEHAVIOR:
   ___________________________________________________________________________
   ___________________________________________________________________________
   __________________________________________________________________________

   [Instruction: Insert penalty for failure to improve performance or correct behavior.]

6. EMPLOYEE COMMENTS:
   ___________________________________________________________________________
   ___________________________________________________________________________
   __________________________________________________________________________



__________________________________                _____ [Month] _____ [Date], 20_____
[Instruction: Insert signature of employee]
___________________________________               _____ [Month] _____ [Date], 20_____
[Instruction: Insert signature of supervisor]




Distribution: One copy to Employee, one copy to Supervisor and original copy to

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Description: This Disciplinary Notice is intended to be used by an employer as a part of its disciplinary program. This notice should be used as a procedure to preserve a record of an employee's non-performance or misbehavior in the workplace. It also offers the employee ways to improve performance or correct behavior. Documentation of employee discipline is important for fairly informing an employee of performance problems and for creating a trail of documentation for potential legal actions. This notice is useful to companies located in Connecticut when dealing with employees with performance or behavioral issues.
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