Free letter of reprimand 49
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{PRIVATE }
SAMPLE FORMAT FOR WRITTEN REPRIMAND
DATE:
TO:

Employee

FROM:

Supervisor

SUBJECT:

Written Reprimand #1

RE:

The reason for the reprimand

BODY OF REPRIMAND:
1.

Should clearly state that the employee is receiving a written reprimand.

2.

Cite work standard violated.

3.

Explain specific incident.

4.

Indicate corrective action or behavior expected.

5.

Explain that future violation(s) may result in further and more severe discipline.

6.

Explain that the employee has the right to file a grievance.

7.

Provide signature and date lines for the employee to sign and
date, acknowledging receipt of the reprimand.

______________________________________
_______
Date
Receipt Acknowledged - Employee
______________________________________
Witness to Delivery to Employee Date
cc:

_______

Official Personnel File

NOTE:

If the employee provides a written response, attach a copy to the
reprimand and place both in the personnel file.