Employee Name:
Employee ID:
Job Title:
Department:
Date of Incident:
Date of This Form:
Nature of Misconduct: (e.g., absenteeism, insubordination, violation of company policy, poor performance, unprofessional conduct)
Description of Incident
Date of Incident:
Time of Incident:
Please provide a detailed, objective account of the incident. Include a summary of what occurred, as well as the names of any people involved.
Please attach any relevant files, such as emails, screenshots, witness statements, or performance metrics.
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Relevant Company Policies Violated: (List the specific company policies or rules that were broken. Include policy names and section numbers if applicable.)
Has the employee received prior disciplinary actions for this or a similar issue?
If yes, please list:
Date:
Type of Action:
Summary:
Type of Action:
Verbal Warning
Written Warning
Final Written Warning
Suspension (with/without pay)
Demotion
Termination
Other:
Corrective Action Plan: (Outline the specific steps the employee must take to correct the behavior or performance issue. Include measurable goals and a timeline for improvement.)
Consequences of Non-Compliance: (Clearly state the consequences if the employee fails to meet the expectations outlined in the corrective action plan. This may include further disciplinary action, up to and including termination.)
Employee Acknowledgment: (By signing, the employee acknowledges receipt of this form and understands the disciplinary action taken. This does not necessarily indicate agreement with the contents.)
Employee Signature:
Form Template Insights
Please remove this form template insights section before publishing.
This Disciplinary Action Form is a comprehensive and well-structured tool designed for a variety of HR functions. Here's a detailed breakdown of its key insights and why each section is crucial:
The form's design reflects a key principle of modern HR: disciplinary action is about correction, not just punishment. It's a formal process to document misconduct or performance issues, but its primary goal is to guide the employee toward a solution. It serves as a:
Mandatory Questions Recommendation
Please remove this mandatory questions recommendation before publishing.
Based on the comprehensive nature of the form and its legal and HR purposes, the following are the mandatory questions or sections that are absolutely essential for its effectiveness and legal defensibility:
In essence, the mandatory questions on this form are those that establish the "who," "what," "why," and "what's next" of the disciplinary process. They provide the irrefutable evidence and documentation needed to support a fair and legally sound employment decision.
To configure an element, select it on the form.