Disciplinary Notice
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Enter Name of Team Member Here Followed by "Disc":
Disciplinary Notice
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Employee Name
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Operator/Supervisor Name
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Witness Name(s) if any:
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Choose Documentation Type
- 1. Coaching
- 2. Verbal Warning
- 3. Written Warning
- 4. Suspension
- 5. Termination
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Please provide a statement of the issue/occurrences (include date, location and description of incident/issue)
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Relevant Unit Policy
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Has the team member received prior warnings on the subject?
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How many and what kind?
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Was the Team Members activity in violation of a written Unit policy?
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If yes, describe how:
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Describe the corrective action to be taken by the team member:
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Consequences of failure to improve performance or correct behavior:
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Team member statement:
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By signing below, I am stating that I have read and understand the information provided in this notice. I also understand that further violations/occurrences could lead to further disciplinary action up to and including termination.
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Team Member Signature:
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Leadership Signature:
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Witness Signature: