Employee Disciplinary Action (Discipline) FormEmployee Disciplinary Action (Discipline) Form
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EMPLOYEE DISCIPLINARY ACTION FORM
Employee: ________________________

Date of Warning: ________________________

Department: _______________________

Supervisor: ________________________

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Type of Violation
❏ - Attendance ❏ - Carelessness ❏ - Disobedience ❏ - Safety ❏ - Tardiness
❏ - Work Quality ❏- Other (explain) _______________________________________________

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Warning
Violation Date: ________________________ Violation Time: ________________________

Violation Location: ________________________________________________

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Employer’s Statement
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Employee’s Statement
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