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SAMPLE – Written Warning for Attendance Date Name Address Via Hand Delivery OR Certified Mail No. Dear Mr./Ms. Last Name : The purpose of this letter is to emphasize the seriousness of your attendance record (absenteeism) as a classification with the agency/department name and to reprimand you for failing to meet acceptable attendance standards.. Available work hours equal total scheduled work hours in the month minus pre‐approved annual leave, pre‐approved compensatory time off, and holiday leave, overtime work hours, supported sick leave, approved medical and personal leaves of absence without pay, including Worker’s Compensation leave of absence, education leave, required military leave, court/jury/hearing leave approved organ donation leave approved disaster service leave and holidays taken on alternative days, as provided in the Administrative Rule.. If applicable You are hereby warned that in accordance with the Division of Personnel’s Delayed Payroll Assignment policy (DOP‐P14), two unauthorized leaves shall result in mandatory permanent placement on the delayed payroll where paychecks are issued a full pay period after the end of the pay period wherein the work was performed.. You must provide copies of your grievance accordingly to the Public Employees Grievance Board at 1596 Kanawha Boulevard, East, Charleston, West Virginia, 25311 agency copy ‐ name and address and the Director of the Division of Personnel, Building 6, Room B‐416, State Capitol Complex, Charleston, West Virginia, 25305..
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