EMPLOYEE NOTICE OF DISCIPLINE

Employee Work Location Date of Discipline Action Given

Employee ID # Date of Occurrence Supervisor Issuing Action

Violations
Attendance Vile, Foul or Abusive Language
Unauthorized Absence Safety/Carelessness
Tardiness Willful Damage to District Property
Insubordination Harassment
Conduct Falsification of Documentation
Endangerment to others Other

Violation Statement (attach any supporting documentation)

Date of Violation:                                    
Place of Violation:                                                                                                                                                 Stateme
Voilation:                                                                                                                                        

Signed by Supervisor Issuing Action Date Position

Disciplinary Action
Oral Reprimand
Written Reprimand
Suspension with out pay        days
Recommendation for Termination

Corrective Actions to be Taken

Corrective Actions/Timeframe:                                                                                                                              

I have read this Notice of Discipline and understand it. (Employee needs to sign each page of supporting documentati
have been made aware of that)

Employee refused to sign this form and all attached documentation

Employee’s Signature                                                                                       Date                                    

Supervisor’s Signature                                                                                       Witness’s Date                         
Signature                                                                                           Date                         

The above disciplinary action has been noted and this form will be made part of the above employee’s permanent file

CE Program Coordinator Date Department Head Date

Strive to provide disciplinary action to be positive and corrective in nature, whenever possible. The severity of the di
administered shall be no greater than necessary to achieve the desired result.
Types of disciplinary action:
Oral Reprimand – An oral discussion with the employee during which the supervisor, program coordinator, or directo
the nature of the violation, the corrective action necessary, and the consequences of future violations, and obtains the
commitment to corrective action. An oral reprimand is to be documented.
Written Reprimand – A written reprimand is written notification to the employee concerning unacceptable performan
corrective action necessary, the consequences of failure to bring about corrective action. This is usually the second s
violation.
Suspension – Suspension is a written notice given by the Program Coordinator/Director to the employee suspending h
three days per infraction without pay. This is usually the third step involving a minor infraction, the second step for a
offense, and the first step for an even more serious offense.
Sent Home without Pay – A supervisor has the ability to send an employee home immediately without pay for the rem
inappropriate actions.
Termination – Termination is taken by the Program Coordinator/Director with board approval to terminate an employ
with the district. A recommendation for termination is usually the fourth step involving offenses of a minor nature, th
step in more serious offenses, and the first step in flagrant violations.

EMPLOYEE WRITTEN WARNING

Employee Work Location Date of Discipline Action Given

Employee ID # Date of Occurrence Supervisor Issuing Action

This shall serve as a written warning for above employee.

Statement of Violation(s):

Corrective Actions needed to take place by employee:

Amount of time allowed for improvement:

I understand the above violations and have discussed them with my supervisor/program
coordinator/director and agree to take steps to meet the corrective actions in a timely manner.

Employee refused to sign this form and all attached documentation

Employee’s Signature                                                                                       Date                                    

Supervisor’s Signature                                                                                       Date                                    

Witness’s Signature                                                                                           Date                                    

DISCIPLINE
Date of Discipline Action Given

Supervisor Issuing Action

Violation of District Policy:

(indicate policy)

                                             Statement of
                      

Sent Home w/out Pay

Administrative Leave w/Pay

                                              

ach page of supporting documentation also to verify they

Date                                    
 Date                                    
Date                                    

he above employee’s permanent file, as of this date.

Date

ver possible. The severity of the discipline

sor, program coordinator, or director notifies him/her of

of future violations, and obtains the employee’s

concerning unacceptable performance or conduct, the

action. This is usually the second step for a minor

rector to the employee suspending him/her for up to

inor infraction, the second step for a more serious

immediately without pay for the remaining shift due to

ard approval to terminate an employee’s employment

olving offenses of a minor nature, the third or second

WARNING
Date of Discipline Action Given

Supervisor Issuing Action

visor/program
in a timely manner.

Date                                    

Date                                    

Date