Employment Disciplinary Letter
[Company Name]
[Company Address]
[City, State, ZIP]
[Phone] | [Email]
Date: [Date]
To: [Employee Full Name]
Job Title/Department: [Title/Department]
Employee ID [Optional]: [ID]
Work Location: [Location]
1. Issue Classification (Category → Subtype + Severity)
Category | Subtype | Severity Scale | Primary Impact | Notes |
[Performance/Attendance/Conduct/Policy/Safety] | [Subtype] | [1–5: Low→High] | [Customer/team/safety/other] | [Notes] |
[Performance/Attendance/Conduct/Policy/Safety] | [Subtype] | [1–5: Low→High] | [Customer/team/safety/other] | [Notes] |
Category | Subtype | Severity Scale | Primary Impact | Notes |
[Performance/Attendance/Conduct/Policy/Safety] | [Subtype] | [1–5: Low→High] | [Customer/team/safety/other] | [Notes] |
[Performance/Attendance/Conduct/Policy/Safety] | [Subtype] | [1–5: Low→High] | [Customer/team/safety/other] | [Notes] |
Category
Subtype
Severity Scale
Primary Impact
Notes
[Performance/Attendance/Conduct/Policy/Safety]
[Subtype]
[1–5: Low→High]
[Customer/team/safety/other]
[Notes]
2. Type of Notice
☐ Verbal warning (documented)
☐ Written warning
☐ Final written warning
☐ Suspension (details): [__]
☐ Other: [Type]
3. Summary of Issue (Facts Only)
3.1 Description (Facts): [Describe the issue clearly and factually, including dates/times/locations]
3.2 Prior Coaching/Warnings [If Any]: [List prior conversations/warnings with dates]
4. Policies and Expectations
4.1 Policy/Standard Referenced: [Policy name/handbook section]
4.2 Expected Standard: [What is expected going forward]
5. Corrective Action Required
5.1 Required Actions:
[Action #1] by [Date]
[Action #2] by [Date]
[Action #3] by [Date]
5.2 Support Provided [Optional]: ☐ Training ☐ Coaching ☐ Schedule adjustments ☐ EAP ☐ Other: [Support]
5.3 Follow-Up Review Date: [Date]
6. Consequences of Continued Issues
6.1 If the issue continues or required improvements are not met, further disciplinary action may occur up to and including termination, consistent with company policy and applicable law.
7. Evidence Checklist
7.1 Records Referenced: [Time records/emails/tickets/written statements/other]
7.2 Storage Location: [HRIS/secure folder/other]
8. Employee Response [Optional]
8.1 Employee comments [optional]: [Space for employee to respond]
9. Signatures
Supervisor/Manager: [Name]
Title: [Title]
Signature: ___________________________
HR Review: [Name]
Employee Acknowledgment:
I acknowledge receipt of this warning/disciplinary notice. My signature does not necessarily indicate agreement.
Employee: [Employee Full Name]
If Employee Refuses to Sign [Optional]:
Witness Name: [Name]
Category | Subtype | Severity Scale | Primary Impact | Notes |
[Performance/Attendance/Conduct/Policy/Safety] | [Subtype] | [1–5: Low→High] | [Customer/team/safety/other] | [Notes] |
[Performance/Attendance/Conduct/Policy/Safety] | [Subtype] | [1–5: Low→High] | [Customer/team/safety/other] | [Notes] |