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Field Discipline Report
Is this an Edge Services Employee?
Date of Behavior Issue or Policy Violation
Level Of Discipline, If results are to terminate the employee complete this form and the employee Termination form. All Suspensions and Terminations must be approved in Advance by the operations Manager.
Does employee accept disciplinary action?
Employee has been made to understand that any failure to immediately correct behavior and or policy violation will result in possible termination.
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is
permissible in your workplace or jurisdiction.
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