Disciplinary Action Form


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What is a disciplinary action form? How do you write a disciplinary action? What is the purpose of the employee disciplinary action form?


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What is a disciplinary action form? How do you write a disciplinary action? What is the purpose of the employee disciplinary action form?

A Disciplinary Action Form, also commonly known as a Write-Up Form is created when an employee shows a specific type of performance, that requires some tracking. Since his or her performance in the workplace needs to go on the record, it either is to exemplify their work or for disciplinary action which can also mean termination.

Since this form is made for employment, it classifies as a sample Human resources (HR) document. Building a business has many steps and requirements, and one crucial component of starting and getting a business to grow that often gets overlooked is HR. Having an HR manager or department within your company requires effort and knowledge, and, depending on the size and industry, might become quickly overwhelming. 

Within an organization, the Human resources department manages its employees, from the beginning: by selecting and recruiting staff (sifting through resumes, job applications and conducting interviews), onboarding and training them, do performance reviews (KPO setting, annual review, etc), all employment-related paperwork, and finally also arranges the termination of the employees. They need to oversee the organization's fair employment practices, HR Handbook, workplace safety, benefits, payroll, and vacation time.

We support you and your company by providing this Human Resources document template, which will help you to make a perfect one! This Disciplinary Action Form is created by HR professionals, and intelligently structured, and easy-to-navigate through. Pay close attention to its content, to make sure that it fits your own needs. 

Disciplinary Action Form includes:

  • Employee Name
  • Date of warning
  • Manager Name
  • First Warning
  • Second Warning
  • Other
  • Previous discipline meeting was held on:
  • behavior/actions have been found unsatisfactory for the following reasons:
  • Tardiness
  • Insubordination
  • Failure to follow the procedure
  • Damaged equipment
  • Rudeness
  • Failure to meet performance
  • Refusal to work overtime
  • Fighting standards
  • Absenteeism
  • Language                                               
  • Other        
  • Policy violation
  • Details of unsatisfactory behavior/actions:
  • The following immediate and sustained corrective action must be taken by the employee.
  • Failure to do so will result in further disciplinary action up to and including termination.
  • Deadline:
  • A follow-up meeting will be held on:
  • Employee Signature:
  • Note: Your signature on this form means that we have discussed the situation. It doesn’t necessarily mean you agree that the infraction occurred.
  • Manager’s Signature
  • Type of Violation
    • Attendance
    • Carelessness
    • Disobedience
    • Safety
    • Tardiness 
    • Work Quality
    • Other (explain)
  • Violation Date
  • Violation Time
  • Violation Location
  • Employee’s Statement
  • Employer’s Statement

The Disciplinary Action Form can be submitted to the individual via e-mail, in-person, or posted in their workspace for the official notice. 

Download this printable Disciplinary Action Form template for your reference. This will save you or your HR department time, cost, and effort and helps you to create a robust HR system.

Also interested in other HR templates? Browse through our database and get instant access to hundreds of free and premium HR documents, HR forms, HR agreements, and more.


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