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Discipline Documentation Form DISCIPLINE DOCUMENTATION FORM Employee Information Name of Employee Employee’s Job by ReadyBuiltForms

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A document that provides documentation of the employees infraction

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									                         DISCIPLINE DOCUMENTATION FORM

Employee Information

Name of Employee:__________________________________________________________

Employee’s Job Title: ________________________________________________________

Incident Information

Date/Time of Incident:________________________________________________________

Location of Incident:_________________________________________________________

Description of Incident:_______________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Witnesses to Incident:________________________________________________________

Was this incident in violation of a company policy?                    Yes           No

If yes, specify which policy and how the incident violated it. ___________________________
____________________________________________________________________________
____________________________________________________________________________

Action Taken

What action will be taken against the employee?____________________________________
___________________________________________________________________________
___________________________________________________________________________

Has the impropriety of the employee’s actions been explained to the employee? Yes    No

Did the employee offer any explanation for the conduct? If so, what was it? ______________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Signature of person preparing report:____________________________________________

Date: __________________________________________________

								
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