Free adverse action notice 28Free adverse action notice 28Free adverse action notice 28
Download the document to the computer for easy use
There are more pages to preview,Read on

Handout # 11
NOTICE OF ADVERSE ACTION

Name:
Position:
Work Address:
Home Address:
You are hereby notified that, pursuant to Government Code section 19574,
adverse action is being taken against you as follows:
I
NATURE OF THE ACTION
You engaged in conduct for which you are being officially reprimanded while
employed as

with the _______________________

, Department of General Services, at
, California.
II
EFFECTIVE DATE
The reprimand shall be effective at the end of your regular workshift on
______________

III

STATEMENT OF CAUSES
This action is being taken against you for causes specified in the following
subsections of Government Code section 19572:
(a)

Fraud in securing appointment

(b)

Incompetency

(c)

Inefficiency

(d)

Inexcusable neglect of duty

(e)

Insubordination

(f)

Dishonesty

(g)

Drunkenness on Duty

(h)

Intemperance

(j)

Inexcusable absence without leave

(m)

Discourteous treatment of the public or other employees

(o)

Willful disobedience

(p)

Misuse of S