Summit Disciplinary Write-up

• Prepared by

• Employee in Violation

• Location
  Address

VIOLATION

• Employee Name

• Violation Date & Time

  Date

• Type of warning

  Verbal Warning

  Written Warning

  Serious Warning

  Other

• Other description:

VIOLATION DESCRIPTION (check all that apply)

• Tardiness / Leaving Early

• Absenteeism

• Violations of Company Policies

• Drinking / Drugs at Work

• Damage to Material/ Equipment / Property

• Failure to come to work prepared

• Substandard Work

• Violation of Safety Rules

• Unsatisfactory Behavior Towards Others

• Tardiness or Absenteeism

• Dress Code Violation

• Other:

• Other description:

• Description of Violation - Specifics

Action

• Warning

• Suspension

• Dismissal

Completed By:

• Authorized Signature

  Sign