Disciplinary Action Form

No one likes having to discipline employees for unacceptable behavior, poor performance, or other issues, but it’s a necessary part of being a manager. Use this form to record cases of disciplinary action.

• Employee Name
• Date
• Department
• Your performance was found unsatisfactory for the reason(s) set forth below:
  • Oral Written
  • Written Warning
  • Written Warning & Suspend
  • Final Written
  • Discharge
• Write Details
  • Your failure to improve or avoid a recurrence will be cause for further disciplinary action in accordance with company policy.
  • Date of next meeting for follow-up
• Improvement Plan
• A copy of this warning was personally delivered to the above employee by
  • Supervisor Signature, Date
• I have received and read this warning. I have been informed that a copy of this notice will be placed in my personnel file in HR.
  • Employee Signature, Date