Official Oral Reprimand

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					                                                        State of Florida
                                             Department of Environmental Protection

                                                OFFICIAL ORAL REPRIMAND




 DATE:

 TO:
               (Employee’s Name)



               (Division/Bureau/District)

 FROM:
               (Supervisor's Name)



               (Title)

 SUBJECT:      OFFICIAL ORAL REPRIMAND



 Standard(s) of Conduct Violated: (Cite DEP Violation):




 Date and Circumstances of Violation(s):




 Corrective Action Expected:




THIS IS AN OFFICIAL ORAL REPRIMAND. FUTURE VIOLATIONS MAY RESULT IN FURTHER OR
MORE SEVERE DISCIPLINARY ACTION, UP TO AND INCLUDING DISMISSAL.


 Employee's Signature                                                  Date

cc:    Director (District/Division)
       Chief, Bureau of Personnel Services




DEP 54-103 (01-10)