Employee Formal Written Reprimand (Page 2 of 4) in pdf

Employee Formal Written Reprimand Page 2

Failure to change behavior as indicated or involvement in other situations requiring formal reprimand

may result in disciplinary actions, including suspension without pay or discharge depending upon the

nature of the situation.

The director or supervisor has advised the employee of the following consequences if he/she fails to

follow these performance/behavior standards:

This action will be reviewed within days.

Supervisor=s Signature

Date:

I understand I have the right to appeal this action through the grievance procedure. My signature

indicates that I have received of this form. I do/do not wish to submit written comments of my own.

(Employee may submit a separate page that will be attached to this document.)

Employee Signature Date:

Witness____________________________________

Record of Employee Oral Reprimand

From: Name: Date:

Dept.: Position

Re: Employee: Job Title:

On (date) at approximately (time) it was necessary to discuss the

following behavior with this employee.

( ) Excessive Absenteeism

( ) Poor Work Performance

Employee Formal Written Reprimand Page 2