disciplinary notice by BeunaventuraLongjas

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									                               DISCIPLINARY NOTICE

Employee Name:                                                 Department:

 Counseling       Verbal Warning        Written Warning        Notice of Suspension        Termination

1.      Statement of violation (violation of rules, policies, standards, practices or unsatisfactory

2.      Prior discussion or warnings on this subject (applicable dates etc):

3.      Statement of company policy on this subject:

4.      Summary of corrective action plan (include dates for improvement and plans for follow-up):

5.      Consequences of failure to improve performance or correct behavior (further disciplinary action;

6.      Employee comments:

        Employee’s Signature               Date            Supervisors Signature                   Date

 Employee Refusal to Sign (check this box if applicable)

Notes: If the situation requires it, please attach further written explanation on a separate page .Then
proceed as follows:

Distribution:   One copy to Employee, one copy to Supervisor and original copy to Personnel File
Confidential                               Page 1                                     8/15/2008

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