Free Disciplinary Action Form 11
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Disciplinary Action Form
To:

_______________________
Employee Name

Disciplinary Action: ____
____
____
____
____
____

Department:

________________

Initial Counseling *
Oral Warning*
Written Warning
Written Warning & Suspension
Final Written Warning
Discharge

Your performance has been found unsatisfactory for the reason(s) set forth below. Your
failure to improve or avoid a recurrence will be cause for further disciplinary action in
accordance with the Regent University Progressive Discipline Policy.
Details: _________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Agreed-upon improvement plan:
________________________________________________________________________
________________________________________________________________________
Date of next meeting for follow-up: __________________________________________
A copy of thi