In the workplace, setting clear expectations and guidelines for behavior and performance is crucial. Equally important is the process by which deviations from these standards are addressed. The Employee Written Notice form serves as a foundational component in the documentation and management of employee performance issues and disciplinary actions. This form, designed to be filled out by supervisory personnel, captures essential information including the employee's name, department, social security number, the date of the incident, and the nature of the offense or performance issue. It outlines a structured approach for reporting a range of violations, from insubordination and failure to adhere to work procedures, to more serious offenses such as dishonesty, substance abuse, and physical or verbal assault. The versatility of the form extends to various disciplinary actions, including verbal warnings, written warnings, suspensions, and discharge. It also includes a remarks section for a detailed account of the incident and a segment for the employee and supervisors to acknowledge the disciplinary action, ensuring a comprehensive and official record of the interaction. This procedural formality is not just about documenting transgressions but is a critical tool for maintaining fair and consistent management practices, fostering a safe and respectful work environment, and, when necessary, providing a legally defensible basis for disciplinary actions.
| Question | Answer |
|---|---|
| Form Name | Employee Written Notice Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | written warning notice, sample written warning form, warning employee written sample, warning form sample |
WRITTEN WARNING DISCIPLINE NOTICE
Employee’s Name___________________________________ |
Date______________________ |
Department _______________________________________ |
SS#______________________ |
Date of Incident____________________________________ |
Date of Hire_______________ |
Verbal |
|
Written Warning |
|
Suspension #_______Working Day(s) |
From______Through______ |
Discharge Effective________ |
|
Reason for warning of discipline.
1. Violation of or failure to observe:
a. College and/or work rules
b. Work procedures
2. Insubordination
3. Tardiness, absenteeism, failure to report for work
4. Under the influence of and/or possession of drugs or alcohol
5. Dishonesty
6. Failure to observe proper safety procedures
7. Failure to complete work assignment
8. Discourtesy or verbal abuse of guest or other employee
9. Damage or misuse of college property
10.Unauthorized removal from college premises of department or other property
11.Physical or verbal assault and/or fighting
12.Other (specify in remarks section)
Remarks: Explain reasons for warning or discipline, including specific details of incident or violation; include prior warning(s).
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
I hereby acknowledge receipt of a copy of this discipline form.
___________________________________ |
____________________________________ |
||
Employee’s Signature |
Date |
Supervisor |
Date |
_______________________________________ |
|
|
|
Department Director or Chair |
Date |
|
|
cc:Department
Employee’s Master Personnel File Employee
Z:\Forms\Written Warning Discipline Notice.doc |
10/23/2003 |