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Employee Formal Written Reprimand

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Employee Formal Written Reprimand

From: Name: Date:

Dept.: Position

Re: Employee: Job Title:

This employee is being formally reprimanded for the following behavior:

( ) Excessive Absenteeism

( ) Poor Work Performance

( ) Repeated Tardiness

( ) Unacceptable appearance; violation of

department dress code

( ) Extended Meal/Rest Periods

( ) Removal of Nazareth Property without

( ) Unexcused Absence

authorization

( ) Insubordination

( ) Carelessness

( ) Repeated Smoking in Restricted

( ) Failure to report any workrelated

Areas

accident or injury

( ) Soliciting Money from Residents,

( ) Breaking of department policies, rules

Employees

or procedures

( ) Repeated use of Abusive or Profane

( ) Other (be specific):

Language

Detailed explanation of reason(s) for the reprimand including how the behavior affected the overall work

environment:

Detailed instructions given to employee:

Employee Formal Written Reprimand